65 y/o man, smoker, with COPD having an acute bronchitis exacerbation. What does everyone see on the ECG?

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Low voltage complexes with second degree heart block Rule out pericardial effusion Vs dilated cardiomyopathy

Thank you sir
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2° AV block c Lateral wall ischaemia in a case of COPD.R/O hypothyroidism

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Low voltage in limb leads LAD LAHB MAT T wave inversion in v1 to v4 D D Subendocardial ischemi P.E

Af with cvr

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It's a case of AV block.

Thanks mam
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tracing is regularly irregular ,Atrial fib,LAD, low voltage in limb leads,

Down up T wave so Hypokalemia is also one of dd

LEFT AXIS ,AF, INCOMPLETE RBBB