cardiac arrestLBBBleft bundle branch blockposterior leadsposterior STEMI1 Min Read Steve SmithonDecember 27, 2010 Incomplete LBBB, posterior STEMI, posterior leads, in a snowstorm A 76 yo male had Chest Pain followed by a cardiac arrest. He was resuscitated in the field, and had hypotension annd electrical storm in the…
cardiac arrestcircumflex occlusionLBBBleft bundle branch blockPVCtorsade2 Min Read Steve SmithonJuly 5, 2010 Cardiac Arrest suddenly after blood loss, is it due to MI? Also, when the rhythm looks like torsade, it is usually not. A 74 yo f with ESRD on dialysis and h/o CAD bumped her access fistula and began to bleed profusely. She had a prehospital BP of 60, pulse 70,…
LBBBleft bundle branch block1 Min Read Steve SmithonMay 14, 2010 Atypical Left Bundle Branch with acute RCA occlusion This 70 year old woman with a history of left bundle branch block presented with 10 hours of dyspnea. Notice there is QRS widening with a wide…
LBBBNew LBBB3 Min Read Steve SmithonMarch 8, 2010 New Left Bundle Branch Block is a poor indicator of coronary occlusion For a couple other very interesting posts on LBBB and STEMI, click here, and here and here for the most recent post. Case 1: A 55 yo male…
evolving STEMILBBBleft bundle branch blockmissed STEMIserial ECGserial EKGSTEMI2 Min Read Steve SmithonJanuary 8, 2009 If there is high suspicion for ischemia, do serial EKGs and pay attention to them! Case 1) This is the initial EKG of a 60 yo male with a couple days of stuttering chest pain. He is pain free at the time of the EKG at 2100.…