COMPLETE ATRIOVENTRICULAR BLOCK DURING LEFT HEART CATHETERIZATION
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概要
- 論文の詳細を見る
A 75-year-old male underwent cardiac catheterization for frequent ventricular premature contractions and reduced left ventricular function. ECG on admission showed complete right bundle branch block (RBBB) and left anterior hemiblock. Right heart catheterization was performed uneventfully, but complete atrioventricular block (CAVB) occurred suddenly when a pig-tail catheter was inserted into the left ventricle. Electrophysiological study identified this CAVB as HV block, and demonstrated HV prolongation in sinus rhythm. The coronary angiogram revealed no obstructive lesion or spasm with ergonovine. The reproducibility of the CAVB was demonstrated. The final CAVB developed and persisted for more than one week, requiring the implantation of a permanent pacemaker (DDD). Complete atrioventricular block induced during left heart catheterization is very rare. Pre-existing RBBB with left anterior or posterior hemiblock and reduced left ventricular function may be common factors in patients with this condition. Emergency pacing equipment should always be on-line when left heart catheterization is conducted in such patients.
- 社団法人日本循環器学会の論文
- 1994-07-20
著者
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Abe Haruhiko
The Second department of Internal Medicine, University of Occupational and Environmental Health
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Abe Haruhiko
The 2nd Department of Internal Medicine, University of Occupational and Environmental Health (UOEH)
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Abe Haruhiko
The Second Department Of Internal Medicine University Of Occupational And Environmental Health
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Abe Haruhiko
The 2nd Department Of Internal Medicine School Of Medicine University Of Occupational And Environmen
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KUROIWA AKIO
The 2nd Department of Internal Medicine, School of Medicine, University of Occupational and Environm
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Araki Masaru
The Second Department of Internal Medicine, University of Occupational and Environmental Health
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Kuroiwa Akio
Moji Rosai Hospital
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MURAAATO YOSHINOBU
The Department of Internal Medicine, Moji Rousai Hospital
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NINOMIYA KENICHI
The Department of Internal Medicine, Moji Rousai Hospital
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IMAI MAKOTO
The Department of Internal Medicine, Moji Rousai Hospital
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ARAKI MASARU
The Department of Internal Medicine, Moji Rousai Hospital
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KAWASAKI ITSUROH
The Department of Internal Medicine, Moji Rousai Hospital
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IBAYASHI HIROSHI
The Department of Internal Medicine, Moji Rousai Hospital
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Ibayashi Hiroshi
The Department Of Internal Medicine Moji Rousai Hospital
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Abe Haruhiko
The 2nd Depart.of Int.med. Univ.of Occupational And Environmental Health
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Araki Masaru
The Second Department Of Internal Medicine University Of Occupational And Environmental Health
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Kuroiwa Akio
The 2nd Depart.of Int.med. Univ.of Occupational And Environmental Health
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Kuroiwa Akio
Second Department Of Internal Medicine University Of Occupational And Environ-mental Health School O
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Kuroiwa Akio
The 2nd Department Of Internal Medicine School Of Medicine University Of Occupational And Environmen
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Ninomiya Kenichi
The Department Of Internal Medicine Moji Rousai Hospital
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Abe Haruhiko
The Second Department Of Internal Medicine University Of Occupational And Environmental Health Japan
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Kawasaki Itsuroh
The Department Of Internal Medicine Moji Rousai Hospital
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Muraaato Yoshinobu
The Department Of Internal Medicine Moji Rousai Hospital
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Imai Makoto
The Department Of Internal Medicine Moji Rousai Hospital
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