Atrial Contractions

ajwrighter2 asked:

http://www.flickr.com/photos/25131033@N05/2372385640/

need help diagnosing this ECG. Looking at V1 it looks like there could be atrial fibrillation or possibly multifocal atrial tachycardia. I cant seem to accurately tell. Also looking at V4 there is possible signs of blockage (also noted in V1)
you can zoom in on image by clicking the all sizes image, if this helps.

Question posted courtesy of: Carmen