Emergency Cases Northwest Group

050 Trifasicular Trouble

Situation

An elderly lady had trifascicular block on ECG.

Background

An elderly lady presented with 2 weeks of chest pain, no collapse or palpitations. Her ECG showed a trifascicular block. She was admitted and later Cardiology reduced the dose of her Diltiezam.

Assessment

It doesn’t appear that her chest pain was related to her abnormal ECG. In this case the cause of her trifascicular block was thought to be the Diltiezam.

Recommendation

Know that trifascicular blocks can be complete or incomplete [as in this case], it looks like like this:

https://litfl.com/trifascicular-block-ecg-library/

Know that, trifascicular blocks. if newly diagnosed, usually need further evaluation whether they are symptomatic or not.

They can go on to become complete heart blocks.

Read this: https://em3.org.uk/foamed/4/12/2017/lightning-learning-trifascicular-block



PLEASE DO NOT INCLUDE ANY PATIENT IDENTIFIABLE DATA OR GEO-LOCATION DATA IN THE SUBMISSION OR IN ANY ATTACHED IMAGES

Emergency Cases Northwest Group