59 y/o M presents for Stress Echo for evaluation of CP, SOB, | Figure 1

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59 y/o M presents for Stress Echo for evaluation of CP, SOB, and lightheadedness/dizziness. He recently underwent ASD closure with hx of two TIAs. Other significant risk factors include HTN, HLD, FH of heart disease in father, and occasional smokeless tobacco use. Patient achieved 85% APMHR, was asymptomatic, and had no ischemic changes at peak exercise, but had an interesting EKG during the initial exercise period and during recovery. What do you see? (first EKG is during exercise and second is during recovery)

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