| CASE REPORT |
|
| Year : 2019 | Volume
: 8
| Issue : 5 | Page : 215-220 |
|
|
Acute myocardial infarction associated with right bundle branch block and changeable trifascicular block: a case report
Yasser Mohammed Hassanain Elsayed
Damietta Health Affairs-Egyptian Ministry of Health, Egypt
Correspondence Address:
Yasser Mohammed Hassanain Elsayed
Damietta Health Affairs-Egyptian Ministry of Health
Egypt
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/2221-6189.268412
|
|
|
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.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
Next article
