ECG of the Week - 17th November 2014

This ECG is from a fit & well 17 yr old male who presented to the Emergency Department with chest pain following a minor chest wall injury. Clinical examination revealed local chest wall tenderness at the site of trauma. Vital signs - BP, RR, Sats, Temp - were within normal limits. Chest x-ray was unremarkable and the pain resolved with simple analgesia. His 'routine' ECG is below.

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Things to consider

• What does his ECG show ?
• What are you going to do about it ?