Diastology question for experts. Image obtained in #Nephrology clinic. L wave or being tricked by bradycardia? (HR 57 bpm) 🤔 E' and waveform with h

Diastology question for experts. Image obtained in #Nephrology clinic. L wave or being tricked by bradycardia? (HR 57 bpm) 🤔 E' and waveform with h