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…
Is this Left Bundle Branch Block? Is there STEMI?
A male 1 ppd smoker in his 50’s with no prior cardiac history called 911 because the chest pain and left arm pain, with SOB and…
CHF Exacerbation with Old LBBB: Is There New Infarction or Not?
An very elderly woman with a h/o CAD with stents to the RCA and circ, mild aortic stenosis, h/o ischemic cardiomyopathy, EF 25%, and h/o heart…
Left Bundle Branch Block with Less Than 1 mm of Concordant ST Elevation (in the Setting of Hypertrophic Cardiomyopathy)
A male in his 60’s with a known history of hypertrophic cardiomyopathy (HOCM) presented for chest pain. He thought it was…
Acute Pulmonary Edema, Respiratory Failure, and LBBB
A man in his 70’s called 911. When medics arrived, he was in extremis with respiratory failure, able only to say he has a history…
Full Text of Left Bundle Branch Block Article Now Free Online
Smith SW et al. Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation to…
Hyperkalemia in the setting of Left Bundle Branch Block
I’m sorry, but there was an error in the previous post and I had to remove it. Depending on information received, I may be able to…
Modified Sgarbossa Rule Published Online: Annals of Emergency Medicine
Link: Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation to S-Wave Ratio in a…
New LBBB after Cardiac Arrest
An elderly man with a history of DM and renal failure had a complaint of back pain, and called 911. En route, he had a seizure, then…
Peer Reviewed Lecture: ECG Diagnosis of STEMI-equivalent in Left Bundle Branch Block (20 minutes)
This is a lecture for the journal Academic Emergency Medicine, which now publishes lectures that have been peer-reviewed. This is the second…