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    SubjectsMedicineLeft Anterior Fascicular Block Left Axis
    ClinicalMedicine

    Left Anterior Fascicular Block Left Axis

    1 MCQs in Medicine for NEET PG

    1 Medium
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    A 62-year-old man with poorly controlled hypertension, type 2 diabetes, dyslipidaemia, and 30 pack-year smoking history presents for preoperative assessment. Examination reveals BP 156/92 mmHg, regular pulse at 78/min, normal apex beat position, and grade 2 hypertensive retinopathy. A 12-lead ECG shows sinus rhythm with narrow QRS complexes (96 ms), and the frontal-plane QRS axis marked **A** is deviated to the LEFT at approximately −60 degrees, with predominantly positive QRS in lead I and predominantly negative QRS in aVF. Based on this marked leftward axis deviation and the associated ECG pattern, which of the following is the most likely diagnosis?

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