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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


Damietta Health Affairs-Egyptian Ministry of Health, Egypt

Correspondence Address:
Yasser Mohammed Hassanain Elsayed
Damietta Health Affairs-Egyptian Ministry of Health
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2221-6189.268412

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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.


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