Alternating Bundle Branch Block Associated with Atrial Fibrillation: A Rare Clinical Entity

REPORTroom air, random blood sugar (RBS) 248 mg%, temperature (T) 98F, 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].

Publication Details

Published
2025-11-20
DOI
https://doi.org/10.5005/apijcr-11050-0005
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
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Alternating Bundle Branch Block Associated with Atrial Fibrillation: A Rare Clinical Entity

Atrial Fibrillation Management and Outcomes
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Alternating Bundle Branch Block Associated with Atrial Fibrillation: A Rare Clinical Entity

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Abstract

REPORTroom air, random blood sugar (RBS) 248 mg%, temperature (T) 98F, 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].

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