WPW due to presence of short PR interval .... also MI is a possibility due to presence of minimal ST elevation in lead I and iverterd Ts in v1 and aVL so cardiac enzymes, ECG with effort will be needed for further evaluation
ECG normal..... Delta wave V3-V4??? not sure RV6+SV1 seems to be <35mm... no LVH on ECG. By history PB Obstructive Hypertrofic Cadriomyopathy..... Next Step EcoCardiogram
Slurred upstroke of R wave... Wolf Parkinson White Syndrome In Setting Of HOCM as the history indicates... Holters Monitoring would be a good choice in next step in management