What does LBBB look like in severe hypothermia? Is there a long QT? Is the QT appropriate for the temperature?
This patient was found down in a Minneapolis winter. He was very cold with frostbitten fingers and toes. He was alert but…
Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4
An elderly woman had sudden SOB and 911 was called. Medics found her with labored breathing and 75% saturations. She was put on…
An elderly man who dies 12 hours later – could he have been saved?
Sent by Anonymous, written by Pendell Meyers and Steve Smith An elderly man with good neurologic baseline but history of CABG presented to the…
An Adolescent with dizziness and near syncope
Submitted by Maura Corbett, PA-C, written by Alex Bracey, with some comments by Smith and Meyers A teenage male presented to the emergency…
LBBB: Using the (Smith) Modified Sgarbossa Criteria would have saved this man’s life
Case submitted and written by Dr. Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo…
Barcelona Rule on Left Bundle Branch Block: Lots of Issues.
By the time we read the paper on the Barcelona rule, it was too late to write a letter to the editor or a commentary. So we are posting it…
A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block
This case was texted to me by one of our residency graduates, and with the outcome, so I don’t know how I would have interpreted it…
Pre-existing Left Bundle Branch Block and Atrial Fib: what is alarming on this routine pre-procedure ECG?
An elderly patient had a pre-procedure ECG (ECG-1). She was asymptomatic. The patient had known Left Bundle Branch Block (LBBB)…
A 60-something year old man with chest pain and a wide QRS
Written by Pendell Meyers, with edits by Steve Smith A man in his 60s with history of CAD s/p PCI, HTN, presented with chest pain which…
Is there Wellens’ syndrome in left bundle branch block? Or in inferior and lateral leads?
Written by Pendell Meyers, with edits by Steve Smith A male in his 80s old had acute onset of chest pain. Here is his first ECG, time…