History:
This ECG was recorded from a 90 year-old man presented with 1/52 of SOB and lower limbs swelling. He has a long standing history of asthma and 40 years history of smoking.
ECG shows:
Sinus Tachycardia, 105/min, Right axis deviation, Baseline wander
Dominant R wave in V1, deep S waves in lateral leads. Suggestive of RVH
Features of right atrial hypertrophy, tall P waves in inferior leads.
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