> (I'd like
> to know what ever came of the concordant versus discordant ST changes as
> markers of ischaemia in teh presence of LBBB, but perhaps another time).
>
> Dr G Ray
> Staff Grade
> A&E
> Sussex
> Reply to [log in to unmask]
>
>
http://www.nejm.org/content/1996/0334/0008/0481.asp Paper
http://www.nejm.org/content/1996/0334/0008/0528.asp Editorial
http://www.nejm.org/content/1996/0335/0002/0131.asp Letters
Above are the papers from NEJM about LBBB. Most of the letters
about the article were fairly critical of the sensitivity of the technique
for diagnosing MI. My understanding is that in patients with a good history
for MI and new LBBB one is justified in thrombolysing. Patients with
preexisting LBBB and good history for MI can be diagnosed clinically as
well, echocardiogram may support the diagnosis if it shows regional wall
motion abnormality.
Andy Johnston
Andrew McD Johnston
Cardiovascular Research Fellow
Acute Stroke Unit
Aberdeen Royal Infirmary
Aberdeen
Scotland
AB25 2QT
Phone +44 (0) 1224 681818 Ext 51161/59203
Fax +44 (0) 1224 840920
email [log in to unmask]
>
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|