Right bundle branch block and left ventricular hypertrophy
Tall R waves in lateral leads V5 and V6 with mild ST segment depression suggests left ventricular hypertrophy. In addition there is rSR pattern in V1 with T wave inversion in V1 – V3, suggestive of right bundle branch block (RBBB). Negative P waves in V1 indicates left atrial enlargement. PR interval is at the upper limit of normal (200 msec).