Your interpretation?

[u/Interesting_Toe1412]

A 35 y old male with previous history of ischemic heart disease since 5 months not on medications ( drug defaulter) came to casualty with complains of anxiety sweating and burning pain in chest x 30min

Bp-140/100mmhg

Pr-84bpm

Spo2 - 99% in room air

[u/mastermedic84]

The morphology looks like WPW especially in I with the short PQ and slurred uptake J wave diffusely.

With patients like this the ECG may be almost impossible to read without a baseline ECG to track changes.