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Deep, narrow (“dagger-like”) Q waves in lateral (I, aVL, V5-6) +/- inferior (II, III, aVF) leads. Other associated features may include: Left atrial enlargement (“P mitrale”) — left ventricular diastolic dysfunction may lead to compensatory left atrial hyertrophy. Signs of WPW (short PR, delta wave) — ECG features of Wolff-Parkinson .
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