Alternating Bundle Branch Block Despite a Patent Stent in Late-Presenting Extensive Anterior STEMI
Mochamad Y Alsagaff, Cornelia Ghea, Hendri Susilo, Elisabeth Sekaringtyas Medistya Putri · 2026
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Description
Mochamad Alsagaff and co-authors report a heart conduction scare after a heart attack in a 2026 case paper. A thirty-nine-year-old smoker arrived nineteen hours after chest pain began, with a large front-wall heart attack. His tracing showed alternating bundle branch block, a rare pattern that warns of looming complete block. A blocked artery was opened with overlapping stents, and flow returned fully.
Despite the open artery, a complete block arrived later. A temporary pacing wire steadied him, and normal conduction returned within a day. Swelling and micro-vessel injury in the heart's septum can explain the delay. The lesson: keep pacing gear ready even when the angiogram looks perfect.
Catalog record
| CREATOR | Mochamad Y Alsagaff, Cornelia Ghea, Hendri Susilo, Elisabeth Sekaringtyas Medistya Putri |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 8 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |