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ECG: LBBB and Acute MI

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Stanley Medical College, Department of Medicine
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AN INTERESTING ECG ,[object Object]
A 75 year old female patient, a known diabetic and hypertensive presented with sudden onset of chest pain… No other significant history An ECG done 3 months in Master health checkup before was supposed to be normal
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REPEAT ECG AFTER 24 HRS
 
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[object Object],Aortic stenosis Dilated cardiomyopathy Acute myocardial infarction Extensive coronary artery disease Primary disease of the cardiac electrical conduction system hypertension
LEFT BUNDLE BRANCH BLOCK ,[object Object],[object Object]
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SGARBOSSA CRITERIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
5 points for concordant 1 mm ST elevation. (any lead) 3 points for concordant 1 mm ST depression in v1 to v3 2 points for discordant 5 mm ST elevation. (any lead )
 
 
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Subtypes of LEFT BUNDLE BRANCH BLOCK ,[object Object],[object Object],[object Object]
VARIANT LEFT BUNDLE BRANCH BLOCK ,[object Object],[object Object]
MASQUERADING BUNDLE BRANCH BLOCK ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
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ECG: LBBB and Acute MI

  • 1.
  • 2. A 75 year old female patient, a known diabetic and hypertensive presented with sudden onset of chest pain… No other significant history An ECG done 3 months in Master health checkup before was supposed to be normal
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  • 8. REPEAT ECG AFTER 24 HRS
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  • 16. 5 points for concordant 1 mm ST elevation. (any lead) 3 points for concordant 1 mm ST depression in v1 to v3 2 points for discordant 5 mm ST elevation. (any lead )
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