Left Bundle Branch Block

Case 62: A 69-Year-Old Man admitted for Coronary Angioplasty

Case 62: A 69-Year-Old Man admitted for Coronary Angioplasty History Diagnosis ECG 2 ECG 2 Diagnosis History A 69-year-old man with known symptomatic coronary artery disease is admitted for angioplasty of his circumflex artery: Diagnosis Suspect lead error (Right Arm – Left Arm Reversal) Sinus rhythm, left bundle branch block Please, repeat the ECG. In …

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Case 75: A 63-Year-Old Woman in the Intensive Care Unit

Case 75: A 63-Year-Old Woman in the Intensive Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History A 63-year-old woman with a history of alcoholic cirrhosis and chronic obstructive lung disease is admitted to the ICU with severe pneumonia and sepsis with sudden onset of tachycardia and hypotension: Diagnosis Wide QRS tachycardia – Ventricular tachycardia Left bundle branch …

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Case 76: A 78-Year-Old Man with Severe Aortic Stenosis

Case 76: A 78-Year-Old Man with Severe Aortic Stenosis History Diagnosis History A 78-year-old man is admitted for investigation of severe aortic stenosis: Diagnosis Sinus rhythm Left axis deviation Left bundle branch block A commonly asked QUESTION is: “Why in this case of left bundle branch block the QRS  in leads V5 and V6  is negative, instead …

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Case 135: A 58-Year-Old Man 5 Days after Aortic Valve Replacement

Case 135: A 58-Year-Old Man 5 Days after Aortic Valve Replacement History Diagnosis ECG 2 ECG 2 Diagnosis History A 58-year-old man is being monitored in the cardiac surgical ward 5 days after replacement of his aortic valve because of severe aortic regurgitation, when he developed palpitation and dyspnea: Diagnosis Atrial fibrillation with rapid ventricular …

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