Acute myocardial infarction associated with right bundle branch block and changeable trifascicular block: a case report
Journal Title: Journal of Acute Disease - Year 2019, Vol 8, Issue 5
Abstract
Rationale: Acute myocardial infarction in the presence of right bundle branch block. Patient concerns: A 70-year-old, male heavy smoker presented with angina and hypertension. Interventions: Electrocardiography, intravenous nitroglycerin infusion, intravenous streptokinase infusion. Diagnosis: Acute myocardial infarction in the presence of with changeable trifascicular heart block. Outcomes: Dramatic clinical improvement with electrocardiographic ST-segment (whether elevation or reciprocal ST-depression) resolution. Lessons: Acute myocardial infarction may be associated right bundle branch block. Accompanied trifascicular heart block had pre-streptokinase left anterior fascicular block with left axis deviation and post-streptokinase left posterior fascicular block with right axis deviation.
Authors and Affiliations
Yasser Mohammed Hassanain Elsayed
Keywords
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- EP ID EP653660
- DOI 10.4103/2221-6189.268412
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