The rhythm is sinus but the pr interval is prolonged (greater than 200ms) and the QRS is wide (> 120ms). The loss of the septal Q waves and the tall broad R waves in leads I, aVL and V6 are diagnostic of a left bundle branch block. Rate (/min) 49 QT (ms) 537
pr (ms) 232 QRS axis (degrees) 0
QRS (ms) 158