Sloof Lirpa Sign
UMEM Potpourri ECG Cases with Dr. Amal Mattu
HPI
A 65-year-old woman presents to the emergency department with an episode of near-syncope. Her ECG shown below is interpreted by the ECG machine, an emergency physician, and a cardiologist as “normal sinus rhythm, new left bundle branch block with premature atrial contraction”. She is admitted to telemetry for a rapid ACS rule out, where she rules out, but later develops complete heart block and dies.
Before watching the video, ask yourself:
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- What is your full interpretation of this ECG?
- Are there any ECG findings that could have predicted her clinical deterioration?
