McGill Case 243

This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia. Previous Case: McGill Case 242 | Next Case: McGill Case 244

The EKG shows atrial fibrillation with a controlled ventricular rate. The QRS is wide (>120ms) and has a tall R' in V1 and an S wave in V6. There is a left axis deviation. The cardiogram suggests a right bundle branch block and a left anterior hemiblock. The patient has a cardiomyopathy with an ejection fraction of 20%.