ECG of the Month: A 60-Year-Old Obese Man Presents with Increasing Shortness of Breath and Anterior Chest Discomfort

A 60-year-old obese man presents with a history of hypertension, hyperlipidemia, obstructive sleep apnea, diabetes mellitus type II and gastroesophageal reflux disease (GERD). He presents with an increasing shortness of breath and anterior chest discomfort. An electrocardiogram (ECG) is performed (Figure 1).

Figure 1

Figure 1

The ECG shows which of the following?

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