ECG Case #26 - Question #1

A 54 year old male with a history of hypertension presents to his primary care office for pre-operative risk stratification prior to elective hernia repair. He states that he intermittently experienced GERD over the past few months but otherwise feels well. His vital signs are normal. Physical examination reveals a II/VI holosystolic murmur at the apex radiating to the axilla. His ECG is below:

What are the ECG findings?

Old-Inferior-MI2

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