ECG of the Week - 25th November 2013

This week's ECG is from a 56 yr old male who presented with episodic chest pain over the preceding few days. He is a hypertensive smoker. He was pain free when this ECG was performed.

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VAQ Corner

A 56 yr old male presents to your Emergency Department with episodic chest pain over the preceding few days. He is a hypertensive smoker. He was pain free when this ECG was performed.
BP 126/86 RR 20 Sats 96% RA

a) Describe and interpret (50%)
b) Outline your disposition (50%)