Bundle branch block and syncope? Right bundle branch block with left anterior hemiblock and prolonged PR interval-trifascicular block.
An 84-year-old Indian man was admitted with a history of recurrent episodes of giddiness for the last 5 years. He also had 3 previous episodes of transient loss of consciousness. He has a history of hypertension for the past 28 years and angina pectoris for the past 10 years. The clinical examination was unremarkable and no postural hypotension was detected. The electrocardiogram is illustrated in Fig 1.
Barendra
C
C
Department of Cardiology, Singapore General Hospital.
Teo
W S
WS
D000368:Aged; D000369:Aged, 80 and over; D002037:Bundle-Branch Block / Q000175:diagnosis*; D004562:Electrocardiography; D006327:Heart Block / Q000175:diagnosis; D006801:Humans; D008297:Male; D013575:Syncope / Q000175:diagnosis