Acute chest pain in a patient with a known right bundle branch block (RBBB)
ECG Weekly Workout with Dr. Amal Mattu
HPI
A 63-year-old male with multiple cardiac risk factors presents to a busy ED with chest pain. He has normal vital signs and a known right bundle branch block. The following ECG is obtained at triage and given to you to sign:
Before watching this week’s video, ask yourself these questions:
- What ECG abnormalities do you notice?
- Would you immediately bed the patient or send the patient to the waiting room?
- What is the most likely cause of this patient’s ECG abnormalities?