ECG of the Week - 23rd March 2015

This ECG is from a 35 yr old male who presented to the Emergency Department following an episode of exertional syncope. He has 1 previous episode of syncope several years prior without investigation. Otherwise he is fit & well with no relevant family history.

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Things to think about

• What are the key features on the ECG ?
• What are your differentials for these features ?
• What investigations would you consider ?