Fresh Right Bundle Branch Block (RBBB) by Serial Electrocardiography Identifying Fatal Pulmonary Embolism 97-98
Dr Peter George MD,
Associate Professor, Department of Medicine,
Fr Muller Medical College, Fr Muller Road,
Mangalore, India - 575002;
Phone: +91 9845177660, +91 824 2238000;
Fax: +91 824 2436352;
Considering the grave situation of the patient, in pulmonary embolism, imaging is often difficult and impractical. We identified pulmonary embolism with the presence of a new right bundle branch block in serial electrocardiographs which were taken of a 65-year old critically ill woman, who was on DVT prophylaxis. Even with the improvement in the hospital practice over the decades, pulmonary embolisms still remain a silent and fatal threat to the critically ill, post surgical and bed bound patients the world over.