Sinus rhythm at 75 beats per minute. QRS duration is normal. Note the marked left axis deviation at about -60° consistent with left anterior fascicular block. As part of this pattern, qR is present in lead aVL along with terminal S waves in the lateral precordial leads. Slow R wave progression V1 through V3 is nondiagnostic.
ECG: electrocardiogram
Graphic 115972 Version 2.0
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