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16 February 2025 : Case report  China

Right Bundle Branch Block on ECG as a Predictor of Sudden Cardiac Arrest Due to Pulmonary Embolism

Unusual clinical course, Challenging differential diagnosis, Management of emergency care

Chunliang Wang ORCID logo ACE 1*, Yuzhu Fan BDE 2, Guiting Liang BC 2, Yu Chen BC 3, Ping Wang BE 4

DOI: 10.12659/AJCR.946074

Am J Case Rep 2025; 26:e946074

Table 1. Laboratory results on admission.

Laboratory examinationResultUnitRange of reference
pH7.0377.35–7.45
PaO46mmHg80–100
PaCO42.7mmHg35–45
HCO12.6mmol/L22–27
BE−17mmol/L±3
Serum lactate11.48mmol/L0–1.50
cTnI0.49µg/L0–0.10
NT-pro BNP1932.8pg/ml0–300
CK-MB13.51ng/ml0–5.00
WBC26.29109/L4–10
Neutrophile granulocytes19.34109/L1.50–5.50
Serum potassium4.1mmol/L3.50–5.50
Serum sodium144.7mmol/L135–150
Serum creatinine140µmol/L55–96
ALT220.6U/L0–40
AST482.8U/L0–40
LDH1528.7U/L120–250
PT17.8S9.20–15.00
APTT87.2S21–37
D-dimer4.2µg/mL0–0.55
BE – base excess; cTnI – cardiac troponin I; NT-pro BNP – N-terminal pro-brain natriuretic peptide; CK-MB – creatine kinase isoenzyme MB; WBC – white blood cells; ALT – glutamic-pyruvic transaminase; AST – glutamic oxalacetic transaminase;
LDH – lactic dehydrogenase; PT – prothrombin time; APTT – activated partial thromboplastin time.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923