Alternating Bundle Branch Block Associated with Atrial Fibrillation: A Rare Clinical Entity
Year: 2025
Type: article
Study design: Case Report
Abstract: room air, random blood sugar (RBS) 248 mg%, temperature (T) 98°F, and jugular venous pressure (JVP) elevated.On auscultation, crepitations present in bilateral basal lung fields.No peripheral edema, pallor, or cyanosis. Investigations• Arterial blood gas (ABG): Chronic respiratory alkalosis.Troponin T (Trop T) positive.B-type natriuretic peptide (BNP) 2430 pg/ mL.Liver function test (LFT) deranged [serum glutamate pyruvate transaminase (SGPT)/serum glutamate oxaloacetate transaminase (SGOT) >500 IU/L].Renal function test showed raised creatinine, requiring hemodialysis.• Echo: Global hypokinesia, severely reduced EF (10%), dilated LA, no clot or vegetation. ManagementPatient was treated with direct current (DC) cardioversion (150-200 J), intravenous (IV) amiodarone infusion, inotropes (dobutamine), hemodialysis, and renal-adjusted antibiotics.
Authors: Sitharthan M, Divendu Bhushan, Sunil Kumar
Institution: All India Institute of Medical Sciences, Patna
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W7106300465