What is lurking underneath this new right bundle branch block?
Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and…
A 30-something with 8 hours of chest pain and an elevated troponin
I received this email: “Hi Steve, “I’m curious what you thought of these ECGs. They were on a 34 y/o with constant CP…
Chest pain and Concordant ST Depression in a patient with aortic valve and previously normal angiogram
60-something presents with acute onset of chest pain. His pain was accompanied by shortness of breath. It awoke him from sleep.…
Sudden weakness with bradycardia and bizarre T-waves
An 60-something man complained of sudden weakness. There was no chest pain or SOB. He had normal blood pressure and perfusion and…
Syncope, Shock, AV block, Large RV, “Anterior” ST Elevation….
An elderly male had a syncopal episode. 911 was called. When medics arrived, the patient was alert and following commands.…
Hypothermia and Right Bundle Branch Block, with ST Elevation?
This patient was found outside in the cold, unresponsive, hypotensive, and underwent brief chest compressions by EMS. Here is his ED 12-lead…
Chest Pain and Right Bundle Branch Block
A male in late middle age with a history of RCA stent 8 years prior complained of chest pain. EMS recorded the following ECG: What do…
Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves
A man in his 60’s presented after 4 days of chest pain, with some increase of pain on the day of presentation. Exact pain history…
Right Bundle Branch Block with ST elevation in V2, V3. Why?
This young male patient had a very atypical presentation for STEMI (near syncope and abdominal pain after smoking an unknown drug), but we can…
Right Bundle Branch Block with Biphasic Wave in lead V2?
A middle-age alcoholic presents with weakness and vague abdomimal discomfort. The patient’s previous ECG was from 4 years prior…