Paramedics bring in a 29 year old male with a history of depression and alcohol abuse for a reported ibuprofen ingestion of unknown quantity as a suicide attempt. The patient initially was somnolent and admitted to alcohol use, but while being transported suddenly had a generalized tonic-clonic seizure. Paramedics quickly administer IV diazepam for the resolution of seizure activity, and he is post-ictal on arrival to the ED. Blood pressure is 98/60 with an irregularly irregular heart rate of 62 on the monitor. He has no history of seizures or cardiac disease in his records. His 12-lead EKG shows this:
How would you describe the EKG? Can you make a diagnosis from this EKG? What would you do next?