Page 550 - ECG dr shamol_Slide
P. 550

Step 5


                                                            EXCLUDE


                                                                  LVH


                                                                   OR



                                                                 LBBB





       Next see Tall R--- LVH



       V  V 6                       (if with T-inversion or ST –depression
             5/


                                  then strain pattern )



                                  Abnormal   R or M pattern --- --- LBBB
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