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Atypical ischemic repolarization in right bundle branch block

Atypical ischemic repolarization in right bundle branch block

Journal of Electrocardiology 52: 117-118

A 70-year-old male presented to emergency room 16 h after the onset of acute chest pain. Initial ECG showed sinus rhythm with a wide QRS and right bundle branch block (RBBB) with concordant and symmetric T waves in V1-V2. A plausible explanation for the atypical positive T waves in leads V1-V2 in conjunction with RBBB could be non-reperfused lateral MI (LMI) as a "mirror-image" of inverted T waves in the posterior leads V7-V9. Coronary angiography showed total thrombotic occlusion TIMI thrombus grade 5 of the circumflex artery. One ECG expression of circumflex artery occlusion is isolated LMI.

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Accession: 066010662

Download citation: RISBibTeXText

PMID: 30553984

DOI: 10.1016/j.jelectrocard.2018.12.004

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