LAD occlusionmissed STEMIOMIRBBB with LAFB (Left Anterior Fascicular Block)right bundleRIght Bundle Branch BlockSubtle LADSubtle LAD Occlusion3 Min Read Steve SmithonJuly 28, 2019 What is the Diagnosis in this 70-something with Chest Pain? This is a very commonly missed ECG of a terrible condition. In this case, it was almost dismissed. I present many other similar…
concordant ST segmentscoronary embolismposterior STEMIRBBBright bundle5 Min Read Steve SmithonOctober 10, 2017 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.…
RBBBRBBB and LAFB in LAD OMIright bundlesinus tachycardia with wide complex can look like VTwide complex2 Min Read Steve SmithonNovember 16, 2010 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…
RBBBright bundlesubacute MIwide complex2 Min Read Steve SmithonNovember 6, 2010 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…
progression of STEMIRBBBright bundle2 Min Read Steve SmithonApril 22, 2010 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…
RBBBright bundle1 Min Read Steve SmithonJanuary 28, 2010 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…
LV aneurysmRBBBright bundle1 Min Read Scott JoingonNovember 10, 2008 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…