ECG of the Week May 22nd

The following ECG is given to you by your waiting room nurse who has assessed a 50-year-old man in the waiting room. He has presented with 5 days of intermittent chest pain but is currently pain free. He has no significant medical history.

What are the key abnormalities?

Are you happy for this patient to wait to be seen or does he need to be up triaged? Justify your answer.