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Not Necessarily a Myocardial Infarction: New Left Bundle Branch Block

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Presentation on theme: "Not Necessarily a Myocardial Infarction: New Left Bundle Branch Block"— Presentation transcript:

1 Not Necessarily a Myocardial Infarction: New Left Bundle Branch Block
Ivan B. Anderson, MD, Ezra A. Amsterdam, MD, Uma Srivatsa, MD  The American Journal of Medicine  Volume 128, Issue 9, Pages (September 2015) DOI: /j.amjmed Copyright © 2015 Elsevier Inc. Terms and Conditions

2 Figure 1 The electrocardiogram (ECG) initially read as left bundle branch block. The QRS complexes are labeled 1-13 between the V5 rhythm strip (bottom) and the standard lead II rhythm strip (second from the bottom). Arrowheads indicate P waves in complexes 1-10, and an arrow indicates that complex 9 is a fusion complex. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

3 Figure 2 The baseline ECG demonstrated normal sinus rhythm.
The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

4 Figure 3 A transthoracic echocardiogram in the parasternal long axis view showed a large thrombus in the right ventricle (arrowhead). Ao = aorta; LA = left atrium; LV = left ventricle; RV = right ventricle. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions

5 Figure 4 Computed tomography of the chest in this patient confirmed the presence of a right ventricular thrombus (measured here at 1.8 cm × 4.2 cm) and revealed multiple small pulmonary emboli (not pictured). RV = right ventricle. The American Journal of Medicine  , DOI: ( /j.amjmed ) Copyright © 2015 Elsevier Inc. Terms and Conditions


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