
Avr is always inverted if all lead are placed correctly.......
LVH V4,V5,V6 Leads QRS complex will be large ..... What about HOCM or intraventricular septal hypertrophy
Must be the paroxysmal condition of LEFT ventricular hypertrophy ..
Sinus tach @ 118bpm. Bundle branch block with possible atrial enlargement. Will need a troponin level to rule out possible stemi