Page 140 - ECG dr shamol_Slide
P. 140

We  know  Septum is depolarized by   from left to right by LBB
  But here  LBB is blocked sot it will be depolarized by the  RBB from right to left .

   As the Vector direction toward the left   that  means away from V1  and  toward

  the  V6  .
  That why it cause negative( Q )  in V1 and positive wave (R)  in the lead V6
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