Case 3

A 52 year old man presents to the ED with a 12 hour history of fatigue and palpitations. He has a history of end stage renal failure and is on dialysis. He missed dialysis yesterday as he missed his lift. The triage nurse shows you this ECG.

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Question 1

What is the most likely diagnosis?

Question 2

What investigation do you immediately do to confirm this?

Question 3

What is the treatment for this condition?