ECG of the Week - 7th October 2013

This is one of the older ECG's I've got in my collection and as such I've got very little clinical information on the case except it is from a 71 year old female.

Click to enlarge

VAQ Corner

A 71 year old femlae presents to your Emergency Department.
She complains of dysponea and mild chest discomfort. 
She has been unwell with a febrile illness for several days.
Vitals: BP 108/63 RR 24 Sats 93% RA T 38.6

a) Describe and interpret her ECG (100%)

Note the clinical scenario above has been made up to facilitate an exam style interpretation for those people preparing for the ACEM Fellowship VAQ Exam