58 year old female with type1 diabetes

58 year old female with type1 diabetes... Patient has been unwell for 3/7... c/o > S.O.B, also nausea & vomiting.

Resps-22
HR-45
BP-92/49
BM-19.1 (mmol/l)
Skin-Pale/Clammy
SP02-92% (Air)
TEMP: 36.1

PMH: None relevant, ex-smoker 40 per day over 30 year span.

MEDS: Ramipril, Insulin and Asprin 75mg daily. no other meds noted.

*PLEASE GIVE ANALYSIS FOR THIS ECG AND YOUR INTERPRETATION... MANY THANKS!

ECG FEATURES:

Atrial Rate: 100 bpm
Ventricular Rate: 45 bpm

AXIS:

Quadrant: Normal
Degrees: +70 (aVL most isoelectric, slightly negative)