ECG of the Week - 12th September 2016

The following ECG is from a 43 yr old male who was referred from his GP due to concerns over an abnormal ECG. He presented with several months of exertional dysponea, chest pain and dizziness. He was asymptomatic at GP and Emergency Department presentation.

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Things to think about

• What are the key ECG findings ?
• What are the differentials for these features ?
• How would investigate this patient ?