Abstract
Many patients with acute myocardial infarction have atypical symptoms, and one half of patients with typical symptoms do not have acute myocardial infarction. One half of patients with acute myocardial infarction have non-diagnostic ECGs. 1 This is one among the challenges often encountered by an emergency department physician. We report a case which is more challenging, a patient with diagnostic ECG with atypical symptoms and a completely normal tests and investigations results. The diagnosis as infarction was excluded and the configuration of right bundle branch block (RBBB) as seen in his ECG 10 years ago was suggested to mimic a myocardial infarction ECG pattern. This unusual case was initially managed as AMI.
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