{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:20Z","timestamp":1753877060766,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T00:00:00Z","timestamp":1737158400000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Intermittent or transient right bundle branch block (RBBB) can occur in various clinical situations but is rarely described in acute pulmonary embolism. We present a unique case involving a 57-year-old male who experienced a syncopal episode during transit. He displayed signs of a transient right bundle branch block (RBBB) and S1Q3T3 on the initial EMS ECG, which reverted to normal ECG later. This case highlights the significance of recognizing transient RBBB and S1Q3T3 patterns as potential markers of acute PE. Anticoagulation therapy is the mainstay of PE treatment, but other modalities like thrombolysis and surgical embolectomy can be used in selected cases.<\/jats:p>","DOI":"10.1093\/omcr\/omae165","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T13:28:47Z","timestamp":1737206927000},"source":"Crossref","is-referenced-by-count":0,"title":["Transient right bundle branch block (RBBB) and S1Q3T3 in a transit passenger due to acute pulmonary embolism- a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7091-1243","authenticated-orcid":false,"given":"Haris","family":"Iftikhar","sequence":"first","affiliation":[{"name":"Hamad General Hospital Emergency Medicine, , Al Rayyan Road, P.O. Box 3050, Doha,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doaa","family":"Sabir","sequence":"additional","affiliation":[{"name":"Hamad General Hospital Emergency Medicine, , Al Rayyan Road, P.O. Box 3050, Doha,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mavia","family":"Najam","sequence":"additional","affiliation":[{"name":"Hamad Medical Corporation Department of Medical Education, , Ahmed Bin Ali St, Doha,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Noor","sequence":"additional","affiliation":[{"name":"Hamad General Hospital Emergency Medicine, , Al Rayyan Road, P.O. Box 3050, Doha,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahzad","family":"Anjum","sequence":"additional","affiliation":[{"name":"Hamad General Hospital Emergency Medicine, , Al Rayyan Road, P.O. Box 3050, Doha,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,1,18]]},"reference":[{"key":"2025011813282776900_ref1","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1016\/j.repc.2023.03.016","article-title":"Artificial intelligence-based diagnosis of acute pulmonary embolism: development of a machine learning model using 12-lead electrocardiogram","volume":"42","author":"Silva","year":"2023","journal-title":"Rev Port Cardiol"},{"key":"2025011813282776900_ref2","doi-asserted-by":"publisher","first-page":"1139","DOI":"10.1161\/01.CIR.96.4.1139","article-title":"Incidence, clinical characteristics, and prognostic significance of right bundle-branch block in acute myocardial infarction: a study in the thrombolytic era","volume":"96","author":"Melgarejo-Moreno","year":"1997","journal-title":"Circulation"},{"key":"2025011813282776900_ref3","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.jelectrocard.2016.10.006","article-title":"Transient right bundle branch block in a patient with acute pulmonary embolism","volume":"50","author":"Gonzva","year":"2017","journal-title":"J Electrocardiol"},{"key":"2025011813282776900_ref4","first-page":"816","article-title":"Pulmonary embolism an update","volume":"46","author":"Doherty","year":"2017","journal-title":"Aust Fam Physician"},{"key":"2025011813282776900_ref5","doi-asserted-by":"publisher","first-page":"65","DOI":"10.5761\/atcs.ra.19-00158","article-title":"Current Management of Acute Pulmonary Embolism","volume":"26","author":"Martinez Licha","year":"2020","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2025011813282776900_ref6","doi-asserted-by":"publisher","first-page":"24","DOI":"10.2174\/1573403X16666200708111553","article-title":"Right bundle branch block: current considerations","volume":"17","author":"Ikeda","year":"2021","journal-title":"Curr Cardiol Rev"},{"key":"2025011813282776900_ref7","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1002\/clc.22454","article-title":"The prognostic significance of right bundle branch block: a meta-analysis of prospective cohort studies","volume":"38","author":"Xiong","year":"2015","journal-title":"Clin Cardiol"},{"key":"2025011813282776900_ref8","doi-asserted-by":"publisher","first-page":"1127","DOI":"10.1111\/acem.12769","article-title":"Findings from 12-lead electrocardiography that predict circulatory shock from pulmonary embolism: systematic review and meta-analysis","volume":"22","author":"Shopp","year":"2015","journal-title":"Acad Emerg Med"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/1\/omae165\/61490574\/omae165.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/1\/omae165\/61490574\/omae165.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T13:28:49Z","timestamp":1737206929000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omae165\/7959930"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1,18]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omae165","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2025,1]]},"article-number":"omae165"}}