ECG Case #22 - Question #1

A 65 year old male with a history of diabetes mellitus presents to the emergency room with altered mental status. His blood pressure is 60/30, heart rate 120, respiratory rate 26, and oxygen saturation 78% on room air. Physical examination reveals diffuse pulmonary rales and an S4 heart sound. Troponin levels are significantly elevated. His old ECG from 3 months and current ECG are below.

What are the new ECG findings?

Old ECG

Normal

New ECG

CabrerasSign-LBBB1

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