There are clearly extra QRS complexes that are of different morphology compared to the QRS complexes with preceding p waves, ie, the sinus beats. The extra QRS complexes are broader and bigger ...
There is clearly a broad QRS complex which is predominantly positive in V1 indicative of RBBB. You can also see an RSR pattern to the QRS complex in V1 reflective of the fact that the left ventricle ...
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