Figure: ECG left anterior hemiblock, left ventricular hypertrophy (LVH)

Introduction

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60 yrs       Male      BP 177/81

PR:  175
QRS:  88      Normal sinus rhythm, rate 72.
QT:  415      Left axis deviation. LAFB.    Axis -40 deg, S> R & no Q 2,3, aVF.
QTc: 454      Left ventricular hypertrophy.   LVH voltage, left axis deviaton.

 Axes

P:     59      Non-specific T-wave abnormalities.
QRS:  -42      T neg or T/QRS ratio < 0.05 in ant, lat, inf leads.
T:    -48      Cannot exclude ischemia. T more negative than -0.20 mV.

Courtesy of Kerala Serio, M.D. UCSF Fresno.