ECG of the Week - 23rd September 2013 - Interpretation

A 73yr old female presents following an episode of syncope.
She is on no medication and has the following vitals:
BP 114/65 RR 18 Sats 97% (RA), Temp 36.3, BSL 6.5
Her ECG is below.
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ECG of the Week - 23rd September 2013

A 73yr old femlae presents following an episode of syncope.
She is on no medication and has the following vitals:
BP 114/65 RR 18 Sats 97% (RA), Temp 36.3, BSL 6.5
Her ECG is below.