Acute Coronary Syndromes: Differentiation of LBBB from AMI on ECG – Clinical Patient Case of the Week

Andrea Eberly, MD, MS, FAAEMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

Acute Coronary Syndromes Differentiation of LBBB from AMI on ECG - Clinical Patient Case of the Week

Acute Coronary Syndromes Case, ECG Differentiation of LBBB from AMI - Clinical Patient Case of the Week

Try this free Acute Coronary Syndromes Case Q&A courtesy of Med-Challenger.

This week's clinical patient case Q&A involves ECG interpretation in the case of a woman with a history of chronic congestive heart failure.  The acute coronary syndromes case comes from our Joint Commission Cardiac Center CME course, part of Med-Challenger's library of board exam review and CME question banks.

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Try this case and test your knowledge of acute coronary syndromes ECG interpretation.

A 67-year-old woman with a history of chronic congestive heart failure caused by cardiomyopathy has the ECG tracing shown below (Figure 1): 

Figure 1.

Acute Coronary Syndromes Case

Question:

What can be stated about the ECG?

Answer Options:

Right bundle branch block with 2 positive Sgarbossa criteria

Left anterior fascicular block

Left bundle branch block, negative Sgarbossa criteria

Possible acute myocardial infarction

See the Answer:

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