ECG 53 A 60-year-old man is seen in the outpatient department complaining of breathlessness which began quite suddenly 2 months previously. He had had no chest pain. Examination revealed a raised jugular venous pressure, basal crackles in the lungs and a third sound at the cardiac apex. These are his ECG and chest X-ray. What do they show and how does this fit the clinical picture? What would you do?
ECG 53