Transient Left Bundle Branch Block Induced by Left-Sided Cardiac Catheterization in Patients Without Pre-Existing Conduction Abnormalities
スポンサーリンク
概要
- 論文の詳細を見る
A traumatic left bundle branch block (LBBB) is uncommon in a patient with intact atrioventricular conduction. Three of our patients developed LBBB during a left-sided catheterization. Two patients suffered from angina pectoris and the other had an abdominal aneurysm. Two od them had a history of hypertension. None of the patients had ever shown any conduction abnormalities before the catheterization. The electrocardiogram just before the examination was normal in all 3 patients. LBBB was observed when a catheter was introduced into the left ventricle, and lasted 2-4 min without significant change in heart rates. Examination revealed no significant stenosis proximal to the forst septal perforator and normal left ventricular contraction in all patients. One patient developed permanent LBBB 14 months later. Catheter-induced LBBB may occur easily with certain anatomical characteristics of the left bundle branch or the distal His bundle, with or without some concealed damage to the conduction system. It is important to keep this complication in mind and to pay adequate attention to patients' electrocardiograms as well as their angiographical findings, especially in those with pre-existing right bundle branch block.
- 社団法人日本循環器学会の論文
- 1998-01-20
著者
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SUMIYOSHI Masataka
Department of Cardiology, Juntendo University Nerima Hospital
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Yamaguchi Hiroshi
Department Of Cardiology Juntendo University
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Takaya Junshi
Department of Cardiology, Juntendo University, School of Medicine, Tokyo, and Juntendo Urayasu Hospi
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SAKURAI Hidehiko
the Departments of Cardiology
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Nakata Yasuro
Department of Cardiology, Juntendo University Izunagaoka Hospital
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Sumiyoshi Masataka
Department Of Cardiology Juntendo University Nerima Hospital
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Nakata Yasuro
Department Of Cardiology Juntendo University Urayasu Hospital
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Nakazato Yuji
Cardiovascular Medicine Juntendo University Urayasu Hospital
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Ogura Shunsuke
Department Of Cardiology Juntendo University School Of Medicine
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Sakurai Hidehiko
Department Of Cardiology Juntendo University Shizuoka Hospital
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OGURA SYUNSUKE
Department of Cardiology, Juntendo University School of Medicine
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Nakata Yasuro
Cardiology Dept. Of Internal Medicine Juntendo University
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Shimamoto Toko
Department of Cardiology, Juntendo University School of Medicine
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Shimamoto Toko
Department Of Cardiology Juntendo University School Of Medicine
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Nakata Yasuro
Division Of Cardiology Department Of Internal Medicine School Of Medicine Juntendo University
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Takaya Junshi
Department Of Cardiology Juntendo University School Of Medicine Tokyo And Juntendo Urayasu Hospital
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Takaya Junshi
Department Of Int. Med. Juntendo Urayasu Hospita
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Takaya Junshi
Division Of Cardiology Department Of Medicine Juntendo School Of Medicine
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Yamaguchi Hiroshi
Department Of Anatomic Pathology Graduate School Of Medical Sciences Kyushu University
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Sakurai Hidehiko
Department Of Cardiology Juntendo University School Of Medicine
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Sakurai Hidehiko
Department Of Cardiology Juntendo University School Of Medicine Tokyo And Juntendo Urayasu Hospital
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Yamaguchi Hiroshi
Departments Of Physiology Juntendo University
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Sakurai Hidehiko
Cardiology Dept. Intern. Med. Juntendo University School Of Medicine Tokyo.
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Sakurai Hidehiko
Department Of Cardiology Jnutendo University School Of Medicine
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