diagnosis please. A 24y/m patient with complaining exersional dysnea.

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normal ecg. do pulmonary function test.

This is RBBB.. Do an echo.. See for other causes of dyspnoea like anaemia etc.. If all ok and echo is normal can do TMT.. If all normal reassurance..

it looks like RBBB. Usually it is physiological but if symptomatic u must take cardiology opinion and also get 2D-Echo done , if u want to give Anaesthetia.

normal ADD 2 D echo

incomplete lbbb

RBBB t-inverted in v1. some Rt sided pathology. do echo

get 2D Echo

Do stress test .

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