A 48-year-old man is brought to the ED complaining of epigastric pain and a burning sensation that is felt from his stomach up to his lower jaw. He also complains of nausea and a single episode of vomiting. Symptoms were not relieved by antacids. The patient is a heavy smoker and is taking medications for HTN and hyperlipidemia. On the scene, EMS recorded vital signs were BP= 120/70, HR= 67, RR=16, and Sat=96%. The medics offered him ASA and sublingual nitroglycerine and transferred him to the ED. On arrival, the patients complain of dizziness and the BP is now 90/60, with a HR of 88, RR=14, and Sat=99% on nasal O2. You notice a bulging JVP and the lungs are clear, no heart murmur is auscultated. You order a stat ECG. What are the ECG the findings that is most consistent with this presenation?