SandBox

Class I

(Level of Evidence: A)

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Class III (No Benefit)

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Class IIa

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Flowchart

Confirmed PE

Assess Clinical Stability

Unstable

Stable

Blood Pressure =< 90mm Drop >=40mm for > 15 min

Assess RV function Biomarkers of injury

Thrombolysis Catheter embolectomy Surgery

AASLD

Class I

(Level of evidence: A)

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Class III (No Benefit)

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Class IIa

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''EKG to be clarified''

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Below is an electrocardiogram of left bundle branch block with left anterior fascicular block.

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Below is an electrocardiogram of wide complex tachycardia (?).

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Below are two interesting strips that show a rate dependent bundle branch block that is probably a left bundle branch morphology. In the first recording a PVC (labeled V) creates a long RR interval and then allows the left bundle to recover and hence the narrow QRS complex. The lower strip shows the opposite where a PVC couplet shortens the RR interval and induces the left bundle branch again.

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The ECG below is an example of sinus bradycardia.

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The following ECGs were put in torsades de pointes. Recheck required. Do not delete please.

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LVH

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Shown below is an EKG of Wolff-Parkinson-White syndrome (antero-septal pathway) depicting wide QRS complex and delta wave in II, III and aVF.

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Shown below is an electrocardiogram of Wolff-Parkinson-White syndrome (antero-septal pathway).

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