Journal of Acute Disease

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

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.


How to cite this article:
Elsayed YM. Acute myocardial infarction associated with right bundle branch block and changeable trifascicular block: a case report.J Acute Dis 2019;8:215-220


How to cite this URL:
Elsayed YM. Acute myocardial infarction associated with right bundle branch block and changeable trifascicular block: a case report. J Acute Dis [serial online] 2019 [cited 2021 Jul 30 ];8:215-220
Available from: http://www.jadweb.org/article.asp?issn=2221-6189;year=2019;volume=8;issue=5;spage=215;epage=220;aulast=Elsayed;type=0