ECG Case #1 - Question #1
A 55 year old male with a history of hypertension, dyslipidemia, and diabetes mellitus presents to the emergency department with substernal chest pain radiating to his left arm, diaphoresis and shortness of breath. He has vomited twice and now is intermittently feeling lightheaded.
His temperature is 37.4, heart rate 70, blood pressure 110/70, and respiratory rate 24. His physical exam reveals no JVD, mild bibasilar rales on lung exam, his heart sounds are regularly irregular, and an S4 heart sound is present. His ECG is below.
What are the main findings on the below ECG tracing?