ECG of the Week - 4th July 2016

The following ECG is from a 75 yr old patient who presented with a rash and fever. They had recently been commenced on lenalidomide for multiple myeloma. They are also on warfarin for a prior mitral valve replacement.

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Things to think about

• What are the key ECG features ?
• What are the differentials for these features ?
• What are the potential cardiac side effects from chemotherapy agents ?