Clinical History 54

Sixty-five year old gentleman with a nine centimeter thoraco-abdominal aortic aneurysm who is recently status postsurgical repair. The patient has minimal coronary artery disease as ascertained by a recent preoperative cardiac catheterization. This electrocardiogram was obtained during hemodialysis. Ventricular tachycardia developed postoperatively and soon thereafter the patient expired.
Comment on this ECG ?