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Right bundle‐branch block unmasking a myocardial infarction

Mario D. Gonzalez · Clinical Cardiology · 2002

AbstractA patient with an acute anteroseptal myocardial infarction and intermittent right bundle‐branch block is presented. Abnormal Q waves in right precordial leads were only observed during right bundle‐branch block. In the absence of right bundle‐branch block, depolarization of the right ventricular free wall concealed the abnormal Q waves typical of an anteroseptal infarct. Right bundle‐branch block, by preventing early activation of the right ventricular free wall, facilitated the correct diagnosis and localization of the infarction.

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