64 year old Pakistani male with 5 year history of well contr | Figure 1

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64 year old Pakistani male with 5 year history of well controlled diabetes presented with history of chest pain that self resolved several weeks ago. He now complains of exertional dyspnoea. Echo done at the same time as this ECG shows severe LV dysfunction with hypokinetic distal 2/3rd of anterior IVS, anterior and anterolateral wall. EF is 30%. He’s only taking metformin. What are the ECG findings and how should he be managed?

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