ECG 112 A 60-year-old man who complains of ankle swelling is found to have an irregular pulse, a blood pressure of 115/70, an enlarged heart, and signs of congestive cardiac failure. These are his ECG and chest X-ray. What do they show? He is untreated – how would you manage him? • Atrial fibrillation, ventricular rate about 100/min, with one ventricular extrasystole • Broad QRS complexes, with ‘M’ pattern in the lateral leads indicating left bundle branch block (LBBB); bottom of S waves flattened in leads V1–V3
ECG 112
Answer 112
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