Acute chest pain in a patient with left bundle branch pacing

Joseph Allencherril; Salman Bandeali; Kjell Nikus; Yochai Birnbaum

doi:10.1016/j.jelectrocard.2022.12.006

Acute chest pain in a patient with left bundle branch pacing

Joseph Allencherril, Salman Bandeali, Kjell Nikus, Yochai Birnbaum

Research output: Contribution to journal › Article › peer-review

Abstract

We present a patient with left bundle branch (LBB) electronic ventricular pacing with chest pain. ECG showed ventricular pacing and ST elevation in the inferolateral leads. At first it was felt that the Sgarbossa criteria for STEMI in electronic ventricular pacing are not met. However, as symptoms persisted, emergency coronary angiography was performed showing complete occlusion of the left circumflex artery. As LBB pacing results in narrow QRS complexes with incomplete right bundle branch block, ST-segment deviation should not be ignored and the Sgarbossa criteria for patients with LBB block or right ventricular electronic pacing should not be applied.

Original language	English (US)
Pages (from-to)	51-54
Number of pages	4
Journal	Journal of Electrocardiology
Volume	77
DOIs	https://doi.org/10.1016/j.jelectrocard.2022.12.006
State	Published - Mar 1 2023
Externally published	Yes

Keywords

LBB pacing
ST elevation
STEMI

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jelectrocard.2022.12.006

Cite this

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abstract = "We present a patient with left bundle branch (LBB) electronic ventricular pacing with chest pain. ECG showed ventricular pacing and ST elevation in the inferolateral leads. At first it was felt that the Sgarbossa criteria for STEMI in electronic ventricular pacing are not met. However, as symptoms persisted, emergency coronary angiography was performed showing complete occlusion of the left circumflex artery. As LBB pacing results in narrow QRS complexes with incomplete right bundle branch block, ST-segment deviation should not be ignored and the Sgarbossa criteria for patients with LBB block or right ventricular electronic pacing should not be applied.",

keywords = "LBB pacing, ST elevation, STEMI",

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AU - Bandeali, Salman

AU - Nikus, Kjell

AU - Birnbaum, Yochai

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Y1 - 2023/3/1

N2 - We present a patient with left bundle branch (LBB) electronic ventricular pacing with chest pain. ECG showed ventricular pacing and ST elevation in the inferolateral leads. At first it was felt that the Sgarbossa criteria for STEMI in electronic ventricular pacing are not met. However, as symptoms persisted, emergency coronary angiography was performed showing complete occlusion of the left circumflex artery. As LBB pacing results in narrow QRS complexes with incomplete right bundle branch block, ST-segment deviation should not be ignored and the Sgarbossa criteria for patients with LBB block or right ventricular electronic pacing should not be applied.

AB - We present a patient with left bundle branch (LBB) electronic ventricular pacing with chest pain. ECG showed ventricular pacing and ST elevation in the inferolateral leads. At first it was felt that the Sgarbossa criteria for STEMI in electronic ventricular pacing are not met. However, as symptoms persisted, emergency coronary angiography was performed showing complete occlusion of the left circumflex artery. As LBB pacing results in narrow QRS complexes with incomplete right bundle branch block, ST-segment deviation should not be ignored and the Sgarbossa criteria for patients with LBB block or right ventricular electronic pacing should not be applied.

KW - LBB pacing

KW - ST elevation

KW - STEMI

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ER -

Acute chest pain in a patient with left bundle branch pacing

Abstract

Keywords

ASJC Scopus subject areas

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