New Left Bundle Branch Block is a poor indicator of coronary occlusion – case 2
This ECG is from a man in his 80s who presented with syncope during exertion. He had a loud systolic murmur consistent with severe aortic stenosis. There was no chest pain.
This ECG shows LBBB with only discordant ST changes and they are not excessive. The most likely cause of his symptoms was the severe aortic stenosis.
ECG of the Week – 5th January 2015 – Interpretation
This ECG is from a man in his 70s with severe dilated cardiomyopathy who presented with worsening peripheral oedema, anorexia and weakness. There was no chest pain or acute dyspnoea.
This ECG shows A-V sequential pacing with appropriate discordant ST segments apart from concordant ST depression in V3. This was not dynamic and there was no further evidence of infarction. He was most likely just generally deconditioned due to his cardiomyopathy and needed medication review.
Paced rhythm, Modified Sgarbossa negative, but with a Wall Motion abnormality.
This ECG is from a middle aged male who presented with 2 hours of sudden onset chest pain on a background of atrial fibrillation, renal insufficiency and implanted pacemaker.
This ECG shows a paced rhythm with discordant ST changes that did not meet Sgarbossa criteria. Troponins were negative and the pain resolved.
ECG of the Week – 3rd August 2015 – Interpretation
This ECG is from a man in his 50s who presented with 2 hours of typical chest pain on a background of progressive dyspnoea over the past 2 weeks.
This ECG shows LBBB with discordant ST changes (Sgarbossa negative). Angiogram showed only multivessel diffuse disease (<50%) that did not require surgical intervention.
A Fascinating Demonstration of ST/S Ratio in LBBB and Resolving LAD Ischemia
This ECG is from a man of unknown age who presented with a few minutes of burning chest and epigastric pain on a background of previous CABG and ischemic cardiomyopathy. This ECG was recorded pain free.
This ECG shows LBBB with appropriately discordant ST segments.
ECG of the Week – 18th April 2016 – Interpretation
This ECG is from a man in his 80s who presented with chest pain and dizziness. He had a dual chamber pacemaker for previous bradycardia.
This ECG shows bigeminy with each ventricular paced beat followed by a PVC. The ST segments are appropriately discordant. There was no evidence of infarction.