scholarly journals Elevated troponin and left bundle branch block in the setting of suspected septicemia and demand ischemia: to treat or not to treat

2018 ◽  
Author(s):  
Munish Sharma ◽  
Rubinder Toor ◽  
Koroush Khalighi
Keyword(s):  
Chest Pain ◽  
Left Bundle Branch Block ◽  
Cardiac Monitoring ◽  
Type Ii ◽  
Elevated Troponin ◽  
Cardiac Enzymes ◽  
Atypical Chest Pain ◽  
Bundle Branch Block ◽  
Coronary Catheterization ◽  
St Elevation

Elevated troponin and atypical chest pain in the setting of septicemia and Type II Non ST elevation myocardial infarction is frequently encountered. These cases are not necessarily scheduled for emergent cardiac catheterization. High index of clinical suspicion and continuous in-patient cardiac monitoring with serial trending of cardiac enzymes are important in such cases. Subsequent sudden development of electrocardiogram changes requires prompt investigation with emergent coronary catheterization. These types of cases may be missed especially in females who present with atypical chest pain and in patients with Left bundle branch block.

Exercise-induced left bundle branch block accompanied by chest pain

2004 ◽  
Vol 37 (4) ◽  
pp. 325-328 ◽  
Author(s):  
Andreas P. Michaelides ◽  
Athanasios N. Kartalis ◽  
Maria-Niki K. Aigyptiadou ◽  
Pavlos K. Toutouzas
Keyword(s):  
Chest Pain ◽  
Left Bundle Branch Block ◽  
Bundle Branch Block ◽  
Exercise Induced

scholarly journals Is thrombolytic therapy indicated in all patients having chest pain and left bundle branch block?

1998 ◽  
Vol 31 ◽  
pp. 269
Author(s):  
M.C. Kontos ◽  
R.L. Jesse ◽  
J.l. Tatum ◽  
C.S. Roberts ◽  
K.L. Schmidt ◽  
...  
Keyword(s):  
Chest Pain ◽  
Thrombolytic Therapy ◽  
Left Bundle Branch Block ◽  
Bundle Branch Block

scholarly journals Fitting a Square Peg in a Round Hole: A Simple Case of Chest Pain

2020 ◽  
Vol 4 (1) ◽  
pp. 1-7
Author(s):  
Mary McLean ◽  
Jennifer Beck-Esmay
Keyword(s):  
Risk Factors ◽  
Chest Pain ◽  
Young Women ◽  
Point Of Care ◽  
Round Hole ◽  
Shortness Of Breath ◽  
Cardiac Enzymes ◽  
Coronary Syndrome ◽  
St Elevation ◽  
Atherosclerotic Risk Factors

A 39-year-old female presents to the emergency department with chest pain and shortness of breath. Her electrocardiogram suggests ST-elevation myocardial infarction, but she has no atherosclerotic risk factors. She is gravida 4, para 4, and four weeks postpartum from uncomplicated vaginal delivery. She is diaphoretic and anxious, but otherwise her exam is unremarkable. Cardiac enzymes are markedly elevated and point-of-care echocardiogram shows inferolateral hypokinesis and ejection fraction of 50%. In this clinicopathological case, we explore a classically underappreciated cause of acute coronary syndrome in healthy young women.

The Diagnosis of Coronary Artery Disease in Hypertensive Patients with Chest Pain and Complete Left Bundle Branch Block

2002 ◽  
Vol 27 (7) ◽  
pp. 510-515 ◽  
Author(s):  
MAURO FEOLA ◽  
ALBERTO BIGGI ◽  
FLAVIO RIBICHINI ◽  
GIANFRANCO CAMUZZINI ◽  
EUGENIO USLENGHI
Keyword(s):  
Coronary Artery Disease ◽  
Chest Pain ◽  
Coronary Artery ◽  
Left Bundle Branch Block ◽  
Bundle Branch Block ◽  
Hypertensive Patients ◽  
Artery Disease
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