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Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
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.
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.
Area of Science:
- Cardiology
- Medical Case Reports
- Electrocardiography
Background:
- Acute anterior wall ST elevation myocardial infarction (STEMI) presents diagnostic challenges.
- Pre-existing right bundle branch block (RBBB) can obscure ST elevation in lead V1.
- Left anterior fascicular block (LAFB) can occur with anterior STEMI.
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