56/female with underlying ischemic heart disease, diabetes and hypertension. Treating for unstable angina. Cardiac enzymes not raised. Interpret the ECG

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RBBB Extreme axis deviation

1.RBBB 2.Northwest axis 3.Digoxin effect 4.Widening Qrs T angle suggests ischemia.

RBBB HYPOKALEMIA

NSR,RBBB right Superior codrant axis,ST cowing v5,v6T Wave inversion in v2v3 Treat as ACS and go for coronary angiography. To ruled out Ischemic heart disease.

RBBB Downup T wave Check S.K

Dr. Amit Gulati sir please share your views

Wide QRS RBBB with left axis deviation.

RBBB extreme axis deviation..with qs in inferior leads.

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