STAT ECG Diagnoses: would you activate the cath lab for this patient with a left bundle branch block (LBBB)?

ECG Weekly Workout with Dr. Amal Mattu


A 84-year-old man presents to the ED with chest pain 6 days after PCI where he received a stent to his LAD. He is noted to have a LBBB at baseline and reports compliance with his ASA, clopidogrel, beta-blocker, and statin. The following ECG was obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What ST-segment abnormalities are expected in patients with LBBB?
  3. Would you activate the cath lab?