An elderly man who dies 12 hours later – could he have been saved?
Sent by Anonymous, written by Pendell Meyers and Steve Smith An elderly man with good neurologic baseline but history of CABG presented to the…
An Adolescent with dizziness and near syncope
Submitted by Maura Corbett, PA-C, written by Alex Bracey, with some comments by Smith and Meyers A teenage male presented to the emergency…
Acute Severe Pulmonary Edema and New LBBB, with Bedside Echo
A middle-aged woman had sudden pulmonary edema in the middle of the night. There was no known history of left bundle branch block.…
What is the rhythm? And is there new left bundle branch block (LBBB)?
A 90 yo with a history of orthostatic hypotension had a near syncopal event followed by chest pain. Chest pain was resolved upon arrival in…
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…
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…