Abstract

Elevated troponin and atypical chest pain in the setting of septicemia and Type II Non ST elevation myocardial infarction is frequently encountered. These cases are not necessarily scheduled for emergent cardiac catheterization. High index of clinical suspicion and continuous in-patient cardiac monitoring with serial trending of cardiac enzymes are important in such cases. Subsequent sudden development of electrocardiogram changes requires prompt investigation with emergent coronary catheterization. These types of cases may be missed especially in females who present with atypical chest pain and in patients with Left bundle branch block.

Highlights

  • A 47-year-old woman with history of ©Copyright M

  • These types of cases may be missed m especially in females who present with atypical chest pain and in patients with Left m bundle branch block. n-co Introduction o Patients with myocardial infarction N (MI) and left bundle branch block (LBBB)

  • LBBB is a pattern seen on the ECG that mon for physicians to deduce patients’ elec- phy of the chest did not reveal pulmonary is produced when the normal electrical trocardiogram (ECG) as non-diagnostic and embolism or aortic dissection, but did activity is interrupted in the His-Purkinje compromise treatment via delaying medica- depict pulmonary fibrosis and bronchiecta- system

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Summary

Introduction

A 47-year-old woman with history of ©Copyright M. These types of cases may be missed m especially in females who present with atypical chest pain and in patients with Left m bundle branch block. N-co Introduction o Patients with myocardial infarction N (MI) and left bundle branch block (LBBB)

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