The Complex Tachycardia

You are called to the local high school for a 16 year old male in the nurses office who suffered a syncopal episode while in class. There was no seizure activity noted and he reported chest "fluttering" and lightheadedness prior to his syncope. Based on this 12 lead, what do you suspect is going on?
Vtach
SVT
Afib w/ RVR
Afib w/ WPW
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