This has a poor sensitivity of 27% for MI. Historically, it has been taught that detecting myocardial ischemia is not possible on an ECG in the setting of a LBBB; however, three different changes ...

Normal sinus rhythm Anterior myocardial ... ischemia and infarctions can indeed be diagnosed in the setting of a right bundle branch block, but is more difficult with a left bundle branch block ...

Given specific clinical settings and associated findings such as ischemic changes in the electrocardiogram (ECG ... for myocardial ischemia/infarction dies prior to the time when it is possible ...

Not surprisingly, this literature overlaps considerably with that linking cocaine use with myocardial ischemia and infarction ... route of cocaine use, time from last drug exposure to first ...