ECG of the Week - 18th May 2015

This ECG is from a 65yr old male. He presented to the Emergency Department feeling generally unwell for 1 week with subjective fevers and night sweats. He had episodic dysponea and myalgia. He denied any chest pain during this illness. He had a previous episode of paroxysmal atrial fibrillation.
He was afebrile at presentation with a blood pressure of 85mmHg systolic.

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Things to think about

• What are the key ECG features ?
• What are the differentials for these features ?
• What are the key management strategies to consider ?