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

Dr. Raimundo Barbosa Barros
Dr. Raimundo Barbosa Barros

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


  1. Which is the clinical-electrocardiographic diagnosis?
  2. Which is the most appropriate approach?

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Auspicios Institucionales
  • Sociedad Argentina de Cardiología
  • Federación Argentina de Cardiología
  • SIAC
  • Asociación Argentina de Cardiología
  • Latin American Heart Rhythm Society
  • Fundación Barceló - Facultad de Medicina