I was involved in a malpractice case a couple of years ago as a consultant. The case involved an emergency physician who was being sued for failure to make a rapid diagnosis of an ST-segment elevation ...

The correct diagnosis is sinus rhythm, right bundle branch block (RBBB), left anterior fascicular block, and acute STEMI (Figure 2). The rhythm is regular with a rate of 90 beats/min, although there ...

A man in his mid-70s with a history of peripheral arterial disease, but no known heart disease, presents to the emergency department (ED) with 1 to 2 hours of nonradiating, slightly pleuritic, ...

Impulses, or electrical signals, travel through both the left and right chambers of your heart to make it pump. But if the pathway is blocked, the impulses may move slower than normal or irregularly.

A right bundle branch block (RBBB) involves a delay in the electrical impulses reaching the heart’s right ventricle, which can affect the heart’s ability to pump blood effectively. While RBBB doesn’t ...

A person with RBBB typically does not have symptoms and may not know they have the condition. On rare occasions, a person may faint due to a severe block, though this is unlikely to occur unless other ...

Normal sinus rhythm Third degree AV block (a.k.a. complete heart block) Inferior ST elevation myocardial infarction (Inferior STEMI) Incomplete right bundle branch block Ischemia of the AV node and ...

The most serious form of the acute coronary syndrome, ST segment elevation myocardial infarction, or STEMI, most often results from complete thrombotic occlusion of a major epicardial coronary artery.