The following ECG is from an 82 year old man with metastatic mesothelioma on immunotherapy treatment with a background of secondary autoimmune pancreatitis (and type 2 DM) and colitis. He also has a history of coronary stents.
His presentation today is for a new 3 day history of nausea and intermittent vomiting with an unsustained fever of 38 degrees at home.
His observations are T36 HR100 BP100/77 RR24 Sats 94% 3L n/s GCS15
ECG is as below.
- Interpret the ECG.
- Describe your differential diagnosis.