ECG of the Week – September 28th 2020

The following ECG is obtained from a 70 year old female who has presented with thoracic back pain and fever. She has also noted reduced exercise tolerance over the preceding three days.

Her vital signs are as follows:

HR 140 RR 24 Sats 94% RA T 38.1 BP 115/87.

Describe and interpret the key ECG abnormalities.