Engelsk titel: Acute coronary occlusion – possible to diagnose in patients with left bundle branch block
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Författare:
Lindow, Thomas
;
Ljungström, Erik
;
Pahlm, Olle
Email: thomas.a.lindow@gmail.com
Språk: Swe
Antal referenser: 23
Dokumenttyp:
Fallbeskrivning
UI-nummer: 19010276
Sammanfattning
Electrocardiographic diagnosis of acute coronary occlusion can be difficult in the setting of left bundle branch block. If presumably new bundle branch block is considered equivalent to ST-elevation myocardial infarction, unnecessary coronary angiographies will be performed. On the other hand, the diagnosis of an acute coronary occlusion should not be delayed. Presence of concordant ST-segment changes are specific, but not sensitive, findings in the diagnosis of acute coronary occlusion in patients with left bundle branch block.