ECG of the Week - 19th September 2016 - Interpretation

This ECG is from an 88 yr old male with a history of ischaemic heart disease and PVD. I don't know what his presenting complaint to the Emergency Department was, but what does his ECG show ?

ECG of the Week - 19th September 2016

This ECG is from an 88 yr old male with a history of ischaemic heart disease and PVD. I don't know what his presenting complaint to the Emergency Department was, but what does his ECG show ?