An 80 year old woman with Left Bundle Branch Block (LBBB) and pleuritic chest pain
This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System. The patient presented to an outside hospital…
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…
Left Bundle Branch Block, Severe Chest pain, Previous Normal Angio. What is going on?
A middle-aged woman with idiopathic cardiomyopathy and biventricular failure, with previous EF of 15%, presented with sudden onset severe…
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…
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…
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…
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…
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…