You have been asked to review an ECG for a 57 year old lady who has presented with chest heaviness and intermittent dizzy spells.
She has a background history of Aortic Regurgitation and Marfans. Her BP in both arms is 130/78, RR18, Sats 99% on air.
Her ECG is as below:
Interpret her ECG
Describe your further management.