ArticleCureus2025
Bifascicular Block Associated With Myocardial Infarction: A Marker of Proximal Left Anterior Descending Artery Occlusion Confirmed by the Artificial Intelligence-Based Smartphone App Queen of Hearts.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In a clinical context highly suggestive of acute coronary syndrome (ACS), the presence of a bifascicular block (BFB) should be considered a potential ST-elevation myocardial infarction (STEMI) equivalent. A right bundle branch block (RBBB) may obscure accurate assessment of the ST segment, potentially masking ischemic changes. Therefore, in patients with suspected ACS, BFB (RBBB and left anterior fascicular block), whether new or pre-existing, should be managed as a high-risk finding and treated according to STEMI protocols if clinical suspicion is strong. We report the case of a man in his 70s with multiple cardiovascular risk factors who was admitted for chest pain and hypotension. The ECG revealed a new (or presumably new) BFB, consisting of RBBB and left anterior fascicular block, associated with QRS-concordant anterior ST-segment elevation extending to lateral leads. Urgent coronary angiography demonstrated a proximal left anterior descending (LAD) artery subocclusion, which was successfully treated with primary percutaneous coronary intervention and drug-eluting stent implantation. The artificial intelligence (AI)-based smartphone application
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