Right bundle branch block and anterior wall ST elevation myocardial infarction

Monica Trofin1, Carsten W Israel2, S Serge Barold3

  • 1Dept. of Medicine - Cardiology, Diabetology & Nephrology, Bethel-Clinic, Burgsteig 13, 33617, Bielefeld, Germany.

Summary

This case study shows how a new left anterior fascicular block in ST elevation myocardial infarction can be masked by right bundle branch block. Revascularization resolved the fascicular block but also altered right bundle branch block patterns, impacting ST elevation interpretation.

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