ECG of the Week - 30th June 2014

This ECG is from a 70yr old male who presented with chest pain and palpitations.
Vital signs: BP 85/64 RR 20 Sats 98% on 10L/min.
I don't have any more information on the patient's past medical history or current medication.

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VAQ Corner

A 70yr old male presents to your Emergency Department with chest pain and palpitations.
Past medical history and current medications are unknown.
Vital signs: BP 85/64 RR 20 Sats 98% on 10L/min.

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