@article{MAKHILLRJMS2024181031696,
    title = {Utility of Left Bundle Branch Block as the Diagnostic Criterion for Myocardial Infarction in a Hemodynamically Stable Patient},
    journal = {Research Journal of Medical Sciences},
    volume = {18},
    number = {10},
    pages = {654-658},
    year = {2024},
    issn = {1815-9346},
    doi = {makrjms.2024.10.654.658},
    url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2024.10.654.658},
    author = {M. and},
    keywords = {Left bundle branch block, acute coronary syndrome},
    abstract = {<p style="text-align:justify">Patients with suspected Acute coronary syndrome in the setting of presumably new onset LBBB is a diagnostic puzzle and the decision to initiate reperfusion therapy has to be taken with utmost caution. My study is to find the incidence of Acute Myocardial Infarction in patients with potential ischemic symptoms in relation to the presence of old or new onset LBBB and to analyze whether new onset LBBB predicts increased likelihood of Acute MI by monitoring with serial Troponin T and echocardiography. Data was collected from patients attending the Department of General Medicine of Sree Mookambika Institute of Medical sciences, kanyakumari, Tamil nadu, from march 2023 to March 2024. Inclusion criteria Patients of any gender above or equal to 30 years of age at the time of hospital admission, Patients presenting with typical anginal pain and suspected Acute coronary syndrome, Ecg shows Left Bundle Branch Block. Exclusion criteria are Patients below 30 years of age, Patients in acute Heart Failure, Hemodynamically unstable patient. We concluded that new or presumed Left bundle branch need not imply that the patient has a acute myocardial infarction. We conclude the incidence of MI in new onset LBBB is not significantly different from those that of people with old LBBB. Presence of LBBB whether new or old LBBB did not predict acute myocardial Infarction. Algorithmic approach towards a suspected Acute coronary syndrome should take into consideration hemodynamic status ,whether patient is in acute heart failure AND whether ECG fits into Smiths criteria and if any of them is present, decision for reperfusion should be promptly taken.</p>
}
    }