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Case Sharing: A Case of New Complete Right Bundle Branch Block with Cardiogenic Shock that Improved after Impella Insertion

Case Sharing: A Case of New Complete Right Bundle Branch Block with Cardiogenic Shock that Improved after Impella Insertion
Dr. Keisuke Miyajima, Seirei Mikatahara General Hospital

Case Details

Late 60's male
172cm, 50kg

Symptom

Dyspnea

Medical history

Hypertension,
Diabetes mellitus

Family history

None

Smoking

Yes

The patient had been experiencing chest pain and dyspnea on exertion since early XX, 20XX, and transported to Seirei Mikatahara General Hospital because of sudden onset of dyspnea at rest. When he came to the hospital, his heart rate was 100 bpm, blood pressure was 86/67 mmHg, and SpO2 was 94% with 10 L of oxygen. Coarse crackles were identified in all bilateral lung fields.

Hematology and biochemistry findings Acidemia of pH 7.2 and lactate increased to 113 mg/dL, liver e...
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