Casos

Adult female with instable angina, several cardiovascular risk factors and intermittent Left Bundle Branch Block

Dr. Andrés R. Pérez Riera
Dr. Andrés R. Pérez Riera
Brazil

Case presentation

Female 52-year-old

History of stable angina for 8 years related to physical strain

Progression in recent months with more frequent events to minor strain

Before admission, she presented more prolonged episode accompanied by syncope

Risk factors: hypertension, DM2 and smoking

She takes: aspirin, simvastatin 40 mg and glybenclamide 5 mg

Normal electrolytes and biomarkers

 

Question

Which is the clinical-electrocardiographic diagnosis?

Which is the most appropriate approach?

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Auspicios Institucionales
  • Sociedad Argentina de Cardiología
  • Federación Argentina de Cardiología
  • SIAC
  • SADEC
  • Asociación Argentina de Cardiología
  • SOLAECE Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología
  • Fundación Barceló - Facultad de Medicina