ECG of the Week - 27th January 2014

This week's ECG is from a 51yr old who presented with a post-prandial episode of syncope and subsequent sensation of episodic pre-syncope. No relevant past medical histroy or medications.

Click to enlarge

VAQ Corner

A 51yr old patient presents to your Emergency Department following an episode of syncope.
No significant past medical history.
Vital signs: BP 124/67 RR 16 Sats 98% Room Air Temp 36.7
His ECG is above.

Question

a) Describe and interpret hs ECG (50%)
b) Outline your disposition plan (50%)