ECG Case 312

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ECG from a 59-year-old male who presented with episodic chest pain for the last 2 weeks which had been constant for the last 1 hour
ECG Case 312

This ECG is from a 59-year-old male who presented with episodic chest pain for the last 2 weeks which had been constant for the last 1 hour. He has a past medical history of hypertension.

What’s the culprit ?