ECG of the Week - 12th December 2016

The following ECG is from a 67 yr old male who was brought to the Emergency Department following an Out-of-Hospital Cardiac Arrest (OOHCA). Return of circulation was achieved pre-hospital following 8 mins of CPR. He has a history of 'heart muscle weakness', T2DM and 'kidney problems'. 

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Things to think about

• What are the key ECG features ?
• What are the potential causes for these features ?
• How would you investigate and manage this patient ?