A 36 year old with no past morbidity Incidentally detected during preoperative investigation for cholecystectomy LBBB in ECG with 2D ECHO Sugg of LV hypokinesia with EF 51%, with no valvular pathology ECG and Cardiac MRI report attached Further Management?

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Dr. Davin

Probably sinus rhythm rate 70-80bpm , l bb like patter, mimic stemi anteroseptal dd/ LV aneurysm (sgarbossa criteria not met) wth conduction delay. Probably need further investigation wth angiography