ECG of the Week - 20th April 2015

This week's ECG is form a 73 yr old male who presented to the Emergency Department complaining of 10+ hours of chest pain, sore throat, cough and dysponea. He has an AICD in situ and known cardiomyopathy (EF 25%). Vital signs were within normal limits. 

Click to enlarge

Things to think about

• What are the key abnormalities on the ECG ?
• What are the differentials for these ECG findings ?