ECG of the Week - 2nd September 2013

This ECG is from a 39 yr old male and I can only assume he presented with chest pain.
I will get some more clinical information today and update the case this evening, including our 'VAQ Corner' exam style quesion.

Updated.

This patient presented with 2 hours of chest pain. Strong family history of cardiac disease. 
Nil regular meds. BP 134/78. Sats 98% RA
VAQ Corner question also added.

Our interpretation of this case can be found here.