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Unusual cause of acquired RBBB
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  • Published on:
    Re:Is it really ischemic?

    I have 2 points to make here, and i also agree whether this patient had ischemia in the first place.

    1)In case of ischemia it is known that the Echo shows regional wall motion abnormalities in 1 to 2 minutes, and much earlier than the ECG changes, but in this case, patient had no regional wall motion abnormalities and normal LV function.

    2) This patient might be having a NSTEMI with a preexisting RBBB...

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    Conflict of Interest:
    None declared.
  • Published on:
    Is it really ischemic?

    I would like to raise two specific questions with regard to the RBBB seen in this patient. Firstly, how are the authors certain that this patient did not have a pre-existing benign RBBB with a superimposed NSTEMI? Did they have an older ECG for comparison? Secondly, in addition to the presence of RBBB, this ECG also shows an S1Q3T3 pattern suggestive of RV volume overload, although the tachycardia seen in PE is absent. D...

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    Conflict of Interest:
    None declared.