ECG of the Week - 28th October 2013

This ECG is from a 35 yr old male who presented to the Emergency Department complaining of palpitations, dysponea, and light-headedness for the preceeding hour. He has no known past medical history.
Vital signs: BP 115/65, RR 20, Sats 98% RA, T 36.6

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VAQ Corner

This ECG is from a 35 yr old male who presented to the Emergency Department complaining of palpitations, dysponea, and light-headedness for the preceeding hour. He has no known past medical history.
Vital signs: BP 115/65, RR 20, Sats 98% RA, T 36.6

Describe & interpret his ECG          (50%)
Outline your further management     (50%)