ECG of the Week - 22rd January 2018

The following ECG is from a 78 yr old female who presented to the Emergency Department with a history of progressively worsening dysponea and peripheral oedema. Her past medical history includes ischaemic heart disease and hypertension.

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Things to think about

• What are the key ECG abnormalities ?
• How could you improve the quality of the patient's ECG ?