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Images in cardiology
Acute myocardial infarction and electrically induced left bundle branch block: is a diagnosis possible?
  1. Cecile Rossi,
  2. Olivier De Senarclens,
  3. Jean-Jacques Perrenoud
  1. Department of Internal Medicine, Rehabilitation and Geriatrics, University Hospital of Geneva, Geneva, Switzerland
  1. Correspondence to Dr Cecile Rossi, Department of Internal Medicine, Rehabilitation and Geriatrics, University Hospital of Geneva, Geneva, Switzerland; Cecile.Rossi{at}hcuge.ch

https://doi.org/10.1136/heartjnl-2012-302959

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    Case report

    An 86-year-old man was hospitalised for congestive heart failure. He had severe aortic stenosis, had previously undergone implantation of a single-chamber pacemaker and was in permanent atrial fibrillation. ECG at admission showed paced ventricular stimulation and a somewhat atypical left bundle branch block (LBBB) aspect, as well as atrial fibrillation (figure 1A). The night following admission, he suffered an episode of severe paroxysmal nocturnal dyspnoea (O2 desaturation of 75%). …

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    Footnotes

    • Contributors All the authors made substantial contributions to every aspect of this letter.

    • Funding None.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.