<prompt> A 26-year-old man attends an occupational heath assessment in preparation for new employment. A 12 leads ECG is recorded as shown. He is feeling well and is experiencing no symptoms.He has no significant past medical history. Based on the ECG findings what is the most likely diagnosis?Right Bundle Branch BlockWolff-Parkinson White SyndromeBrugada SyndromeNormal Variant  <response>: ECGBroad QRS characteristic delta wave present Dx WPW Absent PR interval is due to Rapid conduction of electrical signals from atria to ventricles an aberrant pathway Bundle of Kent. As Electrical signals to ventricles doesnt come AV node so signals have to pass through myocytes ,not in the conduction pathways, thats why Wide QRS complex Definitive Mx of WPW syndrome is Radio frequency Ablation. 