ECG of the Week - 5th May 2014

This ECG is from a 70 yr old male who presented complaining of palpitations for the last few hours. I don't have any further clinical history on the case, sorry.

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VAQ Corner

A 70 yr old male presents to your Emergency Department complaining of palpitations, onset a few hours ago.
Vital signs: BP 125/82  RR 20 T 37.0 Sats 96% RA

• Describe and interpret his ECG (70%)
• Outline your management options (30%)