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This issue, we have a little teaser for GPs, who may reasonably come across this kind of electrocardiogram (ECG) any day of the week. Figure 1 shows the ECG of a well, 83-year-old woman, who attended her GP’s surgery for her ‘annual review’. As part of this review, the practice nurse carried out a routine ECG. Figure 1. The electrocardiogram obtained during the annual review Believe or not, it’s possible to answer the following three questions from this ECG: Q1: What chronic condition was being monitored at her annual review? Q2: What is she taking for this condition? Q3: What action should the GP take now? Let’s go through the ECG