Couplet with LBBB

38 year old with palpitation, no syncope. Diagnosis?etiology?

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In view of QRS complex iseems widened ..activation of the left ventricle of the heart is compromised..There is a cardiac conduction abnormality seen ..*LBBB *

Runs of vpbs no st/ t changes observed. Pl go for 2d echo.holter monitoring

LT AXIS LBBB/LAD VPC ARE SEEN RYTHM IS IRREGULARLY IRREGULAR

Irregular rhythm.. VPC.. LBBB.. 2D echo advice..

Irregular regular rhythm LBBB with MI

Chb urgent pacemaker implantation

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