Transient right bundle branch block in a patient with acute pulmonary embolism.
We report the case of an 86-year-old man found at home with acute chest pain and dyspnea. He presented some episodes of left chest pain combined with dyspnea. The physical examination revealed crackling sounds on the bases of the lungs without other anomalies. Electrocardiograms revealed a transient and complete right bundle branch block with inverted T waves in leads V1, V2, and V3. He was diagnosed with a proximal bilateral acute pulmonary embolism without acute cor pulmonale. We describe a case of a transient bundle branch block, without tachycardia or acute cor pulmonale, revealing a pulmonary embolism.
Emergency Medical Service, Fire Brigade of Paris, France. Electronic address: jonathangonzva@hotmail.fr.
Jonathan
J
Gonzva
Emergency Medical Service, Fire Brigade of Paris, France.
François-Valéry
FV
Viard
Emergency Medical Service, Fire Brigade of Paris, France.
Daniel
D
Jost
Emergency Medical Service, Fire Brigade of Paris, France.
Hugues
H
Lefort
Emergency Medical Service, Fire Brigade of Paris, France.
Jean-Pierre
JP
Tourtier
D000208:Acute Disease; D000369:Aged, 80 and over; D002037:Bundle-Branch Block / Q000175:diagnosis* / Q000209:etiology*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000150:complications* / Q000175:diagnosis*
Bundle-branch block; Cor pulmonale; Electrocardiography; Pulmonary embolism