Infarto miocárdico agudo con bloqueo de rama izquierda: más allá de los criterios de Sgarbossa

Waldo A. Milian Paula; Ramón G. Milián Soto; Wilmer R. Milián Paula; Ismaël Oumarou Issaka; Regla M. Pérez González

Authors

Waldo A. Milian Paula Hospital Abel Santamaría Cuadrado
Ramón G. Milián Soto Hospital Abel Santamaría Cuadrado
Wilmer R. Milián Paula Hospital Abel Santamaría Cuadrado
Ismaël Oumarou Issaka Hospital Abel Santamaría Cuadrado
Regla M. Pérez González Hospital Abel Santamaría Cuadrado

Abstract

Electrocardiographic diagnosis of myocardial infarction in patients with complete left bundle branch block is often difficult. Most of the proposed diagnostic criteria have high specificity but low sensitivity; therefore, high clinical suspicion is crucial in this context. We present the case of a patient treated in the emergency department with severe hemodynamic instability and electrocardiographic abnormalities indicative of myocardial infarction with complete left bundle branch block; as well as other disorders suggestive of the aforementioned diagnosis, but poorly recognized in the scientific literature.

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Author Biography

Waldo A. Milian Paula, Hospital Abel Santamaría Cuadrado

Graduado en Medicina en 2013. Graduado de Cardiólogo en 2019 en el Instituto de Cardiología y Cirugía Cardiovascular en La Habana.

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