Case of the day

Incidental ECG changes

A male aged 48 years Chief Complaints Regular and routine check up every 6 monthly revealed these changes on ECG No such changes seen on ecg 6 months back History Known diabetic since 12 years on OHA Physical Examination Normal

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ECG LVH

Poor progression of R wave Might be DCM do Echo

SINUS TACHYCARDIA LBBB LVH

Lad Sinus tachycardia Incomplete lbbb 2 decho

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Chest leads r recorded at Half standard LAD LAHB LVH (v2)