Kazama Itsuro, Nakajima Toshiyuki
School of Nursing, Miyagi University, Taiwa-cho, Japan.
Internal Medicine, Iwakiri Hospital, Sendai, Japan.
SAGE Open Med Case Rep. 2019 Feb 4;7:2050313X19827748. doi: 10.1177/2050313X19827748. eCollection 2019.
We report a case of right bundle branch block, in which the patient's symptoms and the electrocardiogram findings mimicked those of acute coronary syndrome. In this case report, we stress the significance of apparent ST segment elevation in right bundle branch block. The differential diagnosis is important because right bundle branch block is often complicated with acute coronary syndrome. In addition, right bundle branch block with an ST segment elevation in the specific leads can be a predictor of sudden cardiac death. In such cases, close monitoring of the electrocardiogram findings and careful observation of the patient's symptoms would be necessary.
我们报告一例右束支传导阻滞病例,该患者的症状和心电图表现酷似急性冠状动脉综合征。在本病例报告中,我们强调右束支传导阻滞时明显ST段抬高的重要性。鉴别诊断很重要,因为右束支传导阻滞常并发急性冠状动脉综合征。此外,特定导联出现ST段抬高的右束支传导阻滞可能是心源性猝死的一个预测指标。在这类病例中,有必要密切监测心电图表现并仔细观察患者症状。