Left Bundle Branch Block (LBBB) with Chest Pain, concordant and excessively discordant ST depression V2-V6
A middle-aged male presented pain free after an episode of chest pain. Here is the initial ECG (sorry some is cut off — it is an…
Cardiac arrest, LBBB with STEMI on the ECG, but no Acute Coronary Syndrome!
This 80 year old with a history of CABG had a cardiac arrest. He was resuscitated after fairly prolonged down time, but regained…
Bizarre T-wave inversion of Stokes Adams attack (syncope and complete AV block), with alternating RBBB and LBBB
This is a 68 yo male with a history of aortic stenosis, on carvedilol, fell from a ladder approx 20 ft onto concrete, landing face down with…
Left Bundle Branch Block and Left Anterior Descending Artery occlusion: Serial ECGs then T-wave inversion after reperfusion
A 50 yo male presented with chest pain. This ECG was recorded at 0415. There is sinus tachycardia. There is left bundle branch…
Chest pain and LBBB. LBBB resolves and there is V1-V3 T-wave inversion.
A 59 year old man with no cardiac history was at work when he developed very typical substernal chest pressure. He went to a clinic…
LBBB: is there STEMI?
A 45 year old male with no history of cardiac disease presented with new onset pulmonary edema. He was intubated prehospital. BP…
LBBB with acute STEMI due to ruptured obtuse marginal, diagnosed with bedside ultrasound
This 74 yo male had just returned to his unit bed after successful PTCA of tight lesions of the first diagonal and obtuse marginal coronaries.…
New LBBB and Massive ST elevation: Do not automatically jump to activate the cath lab!
This 50 year old male presented with some atypical chest pain and a blood pressure of 220/150. There is Left Bundle Branch Block with up to 6…
Weakness, prolonged PR interval, wide complex, ventricular tachycardia
This 58 year old patient with a PMH of CAD only (MI, 2 stents) presented awake with weakness and non-palpable pulses…
Cardiac Arrest, Wide Complex, Is it STEMI?
For other cases of cardiac arrest, see these posts Case This 200 kg patient was watching TV when he had a witnessed v fib arrest, and had a…