39 years male patient comes with history of palpitations,perspiration approximately half hour with spontaneous recovery before 12 hours and this is his ecg ,comment on diagnosis and treatment

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Wpw syndrome with. Delta waves. Conduction through bundle of Kent

Seems to be Wpw syndrome type B, short PR interval, wide qrs, delta wave + in v4-v6, secondary ST changes

Look for cardiomyopathy, 2D echo,
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Actually how to differentiate between wow syndrome and lbbb? Can both be present at same time?

78 bpm lateral lead show st depression t wave inversion . lat wal ischemia LAD wide qrs

Rate 75/mt, left axis deviation, complete LBBB. T inversion 1 avL

WPW type B LVH.? Old Inferior MI and poor progress of R wave.

LAD WPW syndrome QS in II, avf (pseudoinfarction)

Anterolateral Myocardial infarction withLBBB.

Thanks all friends for their helpful opinions

Conclusion please.
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LAD, lBBB, lateral myocardial infarction

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