ECG of the Week - 10th August 2015 - Interpretation

This ECG is from a 70 year old male who presented to the Emergency Department complaining of feeling light-headed and dizzy. Past medical history or hypertension, diabetes, chronic atrial fibrillation and chronic renal failure on dialysis. His medications included metoprolol but no digoxin.
Check out the comments from our original post here.

ECG of the Week - 10th August 2015

This ECG is from a 70 year old male who presented to the Emergency Department complaining of feeling light-headed and dizzy. Past medical history or hypertension, diabetes, chronic atrial fibrillation and chronic renal failure on dialysis. His medications included metoprolol but no digoxin. On arrival to the ED he was GCS 15 with a BP 135/78.