What About Left Bundle Branch Block?
Patients with ischaemic cardiac chest pain and left bundle branch block (LBBB) should be assumed to be having an AMI. These patients should be considered for immediate reperfusion therapy, because they have been shown to have amongst the highest mortality of patients with AMI, and they also gain the greatest benefit from thrombolysis [13].
Learning Bite
The default position for patients presenting with ischaemic chest pain and LBBB should be to assume that the presentation is due to AMI.
Left Bundle Branch Block ECG Criteria