McGill Case 278

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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.

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This EKG shows sinus rhythm with a prolonged pr interval (>120ms.) which is first degree A/V block. There is also a left axis deviation (axis between -30 and -90 degrees) with r waves in the inferior leads. This axis deviation is consitent with a left anterior fasicular block.