Interpret ECG

82 year old male presented to the ED with chest pain and SOB. He took 3 nitro with relief. Patient was discharged approximately two weeks ago with cath and stent placement. HR-89 189-101 Spo2 93 RR-18 What this ECG show?

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AF with fast VR , occ VPC’s LAD Apico-lateral ischemia.

Ashman phenomenon Anterolateral ischaemia

LAD - 30° - 90°

AF with FVR Frequent VPCs ,? Ashman phenomenon LAD, anterolateral ischemia

Rythm regularly irregular Vpc are noted Lt axis deviation LBBB/LAD

A.fib Pvc Inferiolateral ischemia

Sinus bradycardia with RBBB

Parasystole