This is a 41-year-old African American male referred because of abnormal EKG that was noticed during an ER visit for uncontrolled hypertension.

He denies chest pain, palpitation, shortness of breath, syncope or any other symptoms. He has a recent echocardiogram shows LVH, otherwise It is unremarkable.

His job is a social worker.

What is wrong with his EKG? and what is the next step of management? (answer the poll below)