Looking for some opinions on above 12 lead for my learning. | Figure 1

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You can view up to 4 cases without signing up. Looking for some opinions on above 12 lead for my learning. 88 YOM palliative CCF and Renal failure. Syncope at home.

I don't have a picture of a longer tracing but in the hour+ transport rhythm remained regular with no identifiable P-Waves.

With regularized AF at a rate of 60 I am thinking:

AF with complete heart block, junctional escape rhythm.

However QRS is wide, but too fast for ventricular escape.

So finally came to AF with complete heart block with junctional escape rhythm and ? LBBB ?

I have not encountered this before so just looking to see if I'm on the right track.

Not prescribed Digoxin.

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