Acute Pulmonary Thromboembolism Presenting As Complete Heart Block - A Rare Presentation

CASE STUDY, August 2015, VOL IV ISSUE I, ISSN 2042-4884
10.5083/ejcm.20424884.140 , Cite or Link Using DOI
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Vikash Goyal MD, Shivakumar Bhairappa MD DM, Prakash Sadashivappa Surhonne MD DM, Shankar Somanna MD DM, Cholenahally Nanjappa Manjunath MD DM

ABSTRACT

Acute pulmonary thromboembolism (PTE) is a life threatening condition which requires early diagnosis and management. Electrocardiogram (ECG) is helpful for suspecting the disease. The various ECG changes are sinus tachycardia, P pulmonale, Right bundle branch block (RBBB) -incomplete or complete, axis shift, S1Q3T3, T wave inversion, and ST-segment depression in leads V1-4, aVF, and Lead III, supra ventricular tachycardia, low voltage QRS complex in limb leads. In addition, sinus bradycardia and complete heart block (CHB) can be seen. CHB has been reported as an exceptionally rare manifestation of acute PTE. Here, we are reporting a case of 66 year old male presented with CHB with acute pulmonary thromboembolism, who reverted to sinus rhythm after thrombolysis.