Bl. Chia et al., ELECTROCARDIOGRAPHIC ABNORMALITIES IN RIGHT-VENTRICULAR INFARCTION ASSOCIATED WITH RIGHT BUNDLE-BRANCH BLOCK, Canadian journal of cardiology, 13(6), 1997, pp. 615-617
An 80-year-old woman with pre existing complete right: bundle branch b
lock presented with severe chest pain. The 12-lead electrocardiogram,
together with right-sided chest leads, showed complete right bundle br
anch block and ST segment elevation in leads II, III, aVF, V-5, V-6 an
d V4R to V6R. These electrocardiographic abnormalities indicate acute
'Q wave' inferolateral and right ventricular infarction coexisting wit
h right bundle branch block.