See what happens when one fails to diagnose STEMI in LBBB and Paced Rhythm
Written by Meyers, edits by Smith: A female in her 60s presented complaining of 2-3 days of fatigue and shortness of breath. She called EMS…
Test almost all of your most important ECG rhythm interpretation skills with this case.
Sent by Anonymous, written by Meyers, edits by Smith: A female in her 70s with history of HTN woke up around 2am with severe shortness of…
An irregularly irregular wide complex tachycardia
This was written by Pendell Meyers, a G2 of the Stony Brook residency who has a keen interest in ECGs and who is going to start to help edit…
Chest pain with New LBBB: It helps to actually measure the ST/S ratio
An elderly male presented with 48 hours of off and on chest pain. This ECG was recorded with pain: The QRS is 130 ms. It is…
A Fascinating Demonstration of ST/S Ratio in LBBB and Resolving LAD Ischemia
This case was contributed by one of my talented colleagues, Johanna Moore, MD. She is our research director and is doing some great…
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…
Some Cardiologists still are not familiar with Sgarbossa Criteria…..
This case shows how you have to advocate for your patient. You have to be the expert. I talk to a lot of emergency physicians who have…
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…
LBBB on Cardiac Ultrasound: do not be fooled into diagnosing a wall motion abnormality!
The last case on the blog of LBBB with very high voltage was actually first identified as LBBB by ED bedside echo, which was done PRIOR to the…
Is there excessively discordant ST Elevation in this ECG with Left Bundle Branch Block?
A patient complained of atypical chest pain and cough. Here is his ECG: There is sinus tachycardia at a rate of 120 with LBBB. By…