Appropriate Discordance in LBBB and Paced Rhythmpaced rhythm5 Min Read Steve SmithonAugust 20, 2019 Elderly with Paced Rhythm, Possible Ischemic symptoms, and an Equivocal Smith Modified Sgarbossa ECG An 80 year old presented with a couple days of SOB, weakness, and diaphoresis. There was no chest pain. Here was her initial ECG: What…