You are reviewing the ECG of a man who has had an intermittent history of chest pain during exercise. His PMH includes being an active smoker but he has no other cardiac risk factors. He is currently pain free. There is a family history of cardiomyopathy.

Observations are P78 BP182/105, T36.8, RR16, Sats 100% on air. ECG as below.

Questions:

1. Interpret the ECG.
2. Describe your deposition for the patient.

With thanks to Dr Shane Colliss for the ECG.