Significance of an isolated new right bundle branch block in a patient with chest pain.

Détails

ID Serval
serval:BIB_BD74ECBEACDB
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Significance of an isolated new right bundle branch block in a patient with chest pain.
Périodique
Bmj Case Reports
Auteur(s)
Gilliot G., Monney P., Muller O., Hugli O.
ISSN
1757-790X (Electronic)
Statut éditorial
Publié
Date de publication
2015
Volume
2015
Pages
-
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: epublish
Résumé
Chest pain is a common presenting symptom in emergency departments, and a typical manifestation of acute myocardial infarction (AMI). Recognition of ECG changes in AMI is essential for timely diagnosis and treatment. Right bundle branch block (RBBB) may be an isolated sign of AMI, and was previously considered as a criterion for fibrinolytic therapy. Since the most recent European Society of Cardiology and American Heart Association guidelines in 2013, RBBB alone is no longer considered a diagnostic criterion of AMI, even if it occurs in the context of acute chest pain, as RBBB does not usually interfere with the interpretation of ST-segment alteration. Our case illustrates an acute septal myocardial infarction with an isolated RBBB, and thus the importance of recognising this pattern in order to permit timely diagnosis and treatment.
Pubmed
Création de la notice
07/09/2015 9:32
Dernière modification de la notice
20/08/2019 16:31
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