Case 74: 100 year old male presented to emergency room with pre syncope

ECG of second degree block type II (2:1 AV block) with LBBB
Case 74: 100 year old male presented to emergency room with pre-syncope, what is your diagnosis based on this ECG?
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Comments

  1. I completely agree with the above opinion. I add an idea that the T wave is negative in the shape of a cup base in V5 and V6, possibly due to Digitalis overdose

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