A 90 year old male with no past medical history to clinic with a complaint of generalized weakness, dizziness, and dyspnea on exertion. Mild lower extremity edema, paroxysmal nocturnal dyspnea, and orthopnea are present. No chest pain has occurred. He is not taking any medications.
His temperature is 37.0, blood pressure 80/40, heart rate 40, respiratory rate is 16. Mild jugular venous distension is present, he is bradycardic and regular without any murmurs. His lungs are clear to auscultation. The rest of his exam is normal.
His ECG is below:
What are the findings of this ECG tracing?