Right Bundle Branch Block with Subtle ST Elevation: LAD 95% occluded
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Stephen SmithPosted
Thu 28 Jan 2010 12:49pm
An 81 yo woman presented at 2 AM to the ED with severe substernal chest pressure. This ECG was recorded
There is sinus rhythm with a PVC, and Right Bundle Branch Block (RBBB). Normally there is no ST elevation with RBBB. In fact, normally, there are inverted T waves (discordant to a positive QRS due to the large R' wave, of the rSR') and from
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New Left Bundle Branch Block is a poor indicator of coronary occlusion
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Stephen SmithPosted
Mon 08 Mar 2010 11:19am
Case 1:
A 55 yo male with a history of hypertension but no MI or CHF presented with 5 days of progressive dyspnea without chest pain. Here is his ECG
There is sinus tachycardia with left bundle branch block (LBBB). A previous ECG from one year prior was normal without LBBB. According to the ACC and AHA, new LBBB in the presence of ischemic
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Karate 'blocks' are much more than blocks
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Sue WhartonPosted
Fri 27 Aug 2010 12:00amBlocks are often a very misunderstood technique in karate and often come in for a great deal of criticism from non-karateka. These techniques are often criticised for being to hard, stiff or slow to be effective. Your average non-karateka may say that it is better to evade, parry or re-direct an incoming strike than do a hard block. I would
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A Block is Just a Block, and a Mile is Just a Mile
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Suzanne BPosted
Sun 26 Dec 2010 12:37pm
, cousins, sons, daughters this Christmas. A little walking won’t kill you. It only takes about 3 minutes to walk a block, and twenty minutes to walk a mile at a regular pace. Just think about making it to the next street, and then the next street, and before you know it, BAM!, you’ve walked a mile.
So please take a walk today. A block is just that: a blockRead on »
Martial Artist's Block vs Writer's Block
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Sue WhartonPosted
Wed 06 Jan 2010 12:00am
to be great all the time”.
Writer’s Block
I’m pretty sure we are all familiar with the concept of ‘writer’s block’. You may have experienced it yourself when writing... you’ve run out of time to write. We’ve all been there!
Martial Artist’s Block
What is martial artist’s block? Is it similar? Well I think I may have just made
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This Writer has a Writer's Block...or Thinker's Block...
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KirstanPosted
Wed 06 May 2009 1:32pm
Okay, I'm dealing with 2 different things for 2 different ministries this week.
I FINALLY got the flash drive stick from the secretary of one of the 2 ministries ....and only...ONLY...to find out....that a couple meeting notes I *desperately need so badly I'll die if I don't get it now*...is on Office 2007, not on my old crusty 2003.
*sig ...
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