You are on a long call when your next admission arrives. Mr. Green is an 82-year-old man with coronary artery disease status post PCI in 2017. He presents with a productive cough, dizziness, and generalized weakness. He has missed his home medications for the past 2 days because he has not been feeling well. His medications include atorvastatin, metoprolol, and aspirin. His blood pressure is 118/72 mmHg, and he is alert without ongoing chest pain. You notice an abnormal rhythm on telemetry and obtain the following 12-lead ECG.