The Patient: This ECG was taken from a 73-year-old man with a history of heart failure with preserved ejection fraction, severe left ventricular hypertrophy, Type II diabetes, and stage 4 chronic kidney disease. He also suffered deep vein thrombosis and is on anticoagulation. He has a recent diagnosis of IgA myeloma.
Interventricular conduction delay, IVCD, Wide QRS complex, Smith Modified Sgarbossa Criteria, First-degree AV block; Left bundle branch block; LBBB;
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