Case

Dx: AFL 2:1 c LBBB, rate dependent BBB, flecainide

• Describe

  Sinus rhythm c wenckebach 6:5 and 5:4

  rate 60, RAD

  Q wave in aVL. V1-2, poor R progression, STE in V2, biphasic T wave in V2-3

  likely Anteroseptal wall aneurysm