Case: 8: A 79 year old woman presents with substernal chest pain. History of hyperlipidemia. She had a narrow QRS on an ECG in 1986.
Vent. rate 116 bpm
PR interval 178 ms
QRS duration 152 ms
QT/QTc 410/466 ms
P-R-T axes 83 -10 71
The QRS is wide. Does this represent a bundle branch block?
Can you diagnose ischemia or infarction from this ECG?
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