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

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



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
  • Asociación Argentina de Cardiología
  • Latin American Heart Rhythm Society
  • Fundación Barceló - Facultad de Medicina