A 70-something woman with syncope and a wide complex
This case was written by Andy Lichtenheld (https://twitter.com/ALichtenheld), a really smart 2nd year resident here at our Emergency Medicine…
A 50-something with h/o coronary bypass has chest pain and a ventricular paced rhythm
A 50-something male with h/o CAD and CABG, and dual chamber pacemaker due to sick sinus syndrome, called 911 for onset of acute chest pain 2…
New Left Bundle Branch Block (LBBB) and Dyspnea
It is important to remember that the latest (2013) ACC/AHA STEMI guidelines removed New Left Bundle Branch Block (LBBB) as an indication for…
Massive Excessively Discordant Anterior ST Elevation in a Paced Rhythm
This patient has a standard DDD pacer, with RV pacing (not biventricular pacing), severe chronic nonischemic cardiomyopathy with EF of 10%…
Left Bundle with Convex ST Segment: Where is the J-point?
On July 26, I posted a similar problem, but in that case, the huge ST elevation was proportional. Here is another case in which it may…