Wide Complex Tachycardia; It’s really sinus, RBBB + LAFB, and massive ST elevation
Here are more examples of wide complex tachycardia: these are all a mix of ventricular tachycardia and SVT with aberrancy. This 51 yo…
Subacute STEMI Masked by a Wide Complex
See this post for a wide complex that reveals the MI. Case: This 46 yo male with no h/o MI or coronary disease presented with 2 days of…
Beware crescendo angina in patient with known CAD
A 73 yo f with hx of CAD (CABG x 2), DM, HTN, hyperlipidemia and known previous LAD occlusion, presented to the ED at t=0 with chest pain,…
Progression of Anterior STEMI with RBBB and cardiogenic shock
Unfortunately, the blogging software fails if I try to embed the EKGs in the text where they belong. Therefore, all EKGs will be at the…
Right Bundle Branch Block with Subtle ST Elevation: LAD 95% occluded
An 81 yo woman presented at 2 AM to the ED with severe substernal chest pressure. This ECG was recorded: There is sinus rhythm with a PVC, and…
Right Bundle Branch Block (RBBB) with Anterolateral STEMI
A 62 yo male with h/o CAD and stent in 1st OM presented with Chest pain while biking. Vitals were normal. An ECG was recorded: There is Right…
Posterior ST Elevation MI in the Setting of Right Bundle Branch Block, with Posterior Leads V7-V9
This is a 68 year old man who had a resuscitated cardiac arrest. His prehospital ECG looks identical to this one which was recorded upon…
Right Bundle Branch Block with Acute ST Elevation Seen Best on Prehospital ECG
This patient is 38 years old with hyperlipidemia. He was at the gym when he had the onset of chest pain. EMS was activated and recorded the…
LV aneurysm (persistent ST elevation after previous MI) in the setting of RBBB
65 yo male with recent rule out presents with unrelated complaint but also states he is SOB. What are the worrisome EKG findings, and what is…