Downsloping ST ElevationRBBB with Fascicular BlockRBBB with LPFB (Left Posterior Fascicular Block)3 Min Read Steve SmithonDecember 15, 2021 Chest pain and RBBB with right axis deviation, and downsloping ST Elevation. What is downsloping ST Elevation? 4916132 A 50-something male smoker with h/o Diabetes, but with no cardiac history presented by ambulance with acute chest…