Answer to ECG Quiz no. 30

  • R. Scott Millar Cardiac Clinic, University of Cape Town / Groote Schuur Hospital Cardiac Arrhythmia Society of Southern Africa (CASSA)
DOI: https://doi.org/10.24170/10-2-1809

Abstract

If a patient presents with a clinical syndrome suggesting acute  myocardial infarction and the ECG shows LBBB, treat as for ST elevation myocardial infarction (STEMI), whether or not the ECG shows features diagnostic of MI. While LBBB tends to obscure the usual features of STEMI, diagnostic features may still be present (Table I). The most useful are: concordant ST elevation of 1mm or more in any lead; discordant ST elevation of 5mm or more. Diagnostic and localising ST segment elevation may also be present in other conditions affecting ventricular depolarisation, such as paced rhythm, ventricular escape rhythms, accelerated idioventricular rhythm and pre-excitation

Downloads

Download data is not yet available.
Published
2017-03-31
Issue
Vol. 10 No. 2 (2013): Autumn
Section
ECG Quiz

Copyright (c) 2017 SA Heart Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This journal is an open access journal, and the authors and journal should be properly acknowledged, when works are cited.

Authors may use the publishers version for teaching purposes, in books, theses, dissertations, conferences and conference papers. 

A copy of the authors’ publishers version may also be hosted on the following websites:

  • Non-commercial personal homepage or blog.
  • Institutional webpage.
  • Authors Institutional Repository. 

The following notice should accompany such a posting on the website: “This is an electronic version of an article published in SAHJ, Volume XXX, number XXX, pages XXX–XXX”, DOI.  Authors should also supply a hyperlink to the original paper or indicate where the original paper (http://www.journals.ac.za/index.php/SAHJ) may be found. 

Authors publishers version, affiliated with the Stellenbosch University will be automatically deposited in the University’s’ Institutional Repository SUNScholar.

Articles as a whole, may not be re-published with another journal.

Copyright Holder: SA Heart Journal

The following license applies:

Attribution CC BY-NC-ND 4.0