Fear-Inducing Coronary Spasm in an Asthmatic Patient with Right Bundle Branch Block; Oxygen Reversal and Reassurance

Rationale: Fear is one of the most psychosomatic risk factors in clinical medicine. Generally, ischemic cardiovascular events are strongly linked with psychological stress. Patient concerns: An elderly-aged housewife female asthmatic patient presented to the physician outpatient clinic for cardiovascular follow-up is getting coronary artery spasm after inducible fear. Diagnosis: Fear-inducing coronary spasm in an asthmatic patient with right bundle branch block. Interventions; Electrocardiography, oxygenation, and echocardiography. Outcomes: Dramatic of both clinical and electrocardiographic improvement post-oxygenation had happened. Lessons: The fear may be an inducible factor for coronary artery spasm and cardiovascular events. It signifies the role of oxygenation in the reversal of coronary artery spasm and it is the future concept. The association of patient right bundle branch block in an asthmatic patient is reasonable. The presence of the patient’s relatives or friends during medical procedures may be a source of danger to the patient.