ECG of the Month: Patient Presents with History of Hypertension, Hyperlipidemia, Type 2 Diabetes, and CABG

A 67-year-old man presents with a history of hypertension, hyperlipidemia, type 2 diabetes, and coronary artery bypass grafting (CABG). His left ventricular ejection fraction is 25% and an ICD is implanted after an episode of ventricular tachycardia. His ECG is shown (Figure 1).

Figure 1

Figure 1

The ECG demonstrates which of the following?

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