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PLAB04-026

Sally is 37 years old and is 24 weeks pregnant. She attends A&E with a 2 hour history of pleuritic chest pain and haemoptysis. On examination observations are stable except for heart rate of 102 beats per minute. Heart sounds are normal and chest examination is normal.

Based on the likely diagnosis, which of the following ECG signs would be least likely to be seen?

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