ECG of the Week - 15th May 2017

The following ECG is from an 81yr old female who presented with a 48hr history of palpitations. She underwent a cardioversion for an atrial arrhythmia 1 year ago. Her medications include metoprolol, digoxin and eliquis.

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Things to think about

• What are the key ECG features ?
• What consideration would influence your management of this patient ?