A Case of Alternating Bundle Branch Block in Combination With Intra-Hisian Block
スポンサーリンク
概要
- 論文の詳細を見る
We describe a 66-year-old woman who had an alternating bundle branch block consisting of coexisting occurrence of right bundle branch block (RBBB) and left bundle branch block (LBBB) combined with Mobitz type II atrioventricular block (AVB). A prolonged PQ interval was associated with the RBBB pattern whereas it was not apparent in the LBBB pattern. Electrophysiologic study revealed that the LBBB pattern was combined with a double His bundle potential. On the other hand, the RBBB pattern was combined with a markedly prolonged HV interval with a low voltage monophasic His bundle potential, which we speculated was the former part of the split His bundle potential seen during the LBBB pattern. A combination of the longitudinal dissociation in the His bundle and the gap phenomenon at the intra-Hisian block portion may account for this observation.
- インターナショナル・ハート・ジャーナル刊行会の論文
著者
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Kikuchi Kenjiro
旭川医科大学 内科学循環呼吸神経病態内科学
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Hasebe Naoyuki
The First Department of Medicine, Asahikawa Medical College
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Kikuchi Kenjiro
The First Department of Medicine, Asahikawa Medical College
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Ogura Yukie
Division of Cardiology, Asahikawa Kosei Hospital
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Kato Junichi
Division of Cardiology, Asahikawa Kosei Hospital
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Ogawa Yuji
Division of Cardiology, Asahikawa Kosei Hospital
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Shiokoshi Takahiro
Division of Cardiology, Asahikawa Kosei Hospital
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Kitaoka Toru
Division of Cardiology, Asahikawa Kosei Hospital
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Suzuki Takahide
Division of Cardiology, Asahikawa Kosei Hospital
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Kawamura Yuichiro
The First Department of Medicine, Asahikawa Medical College
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Tanabe Yasuko
The First Department of Medicine, Asahikawa Medical College
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Sato Nobuyuki
The First Department of Medicine, Asahikawa Medical College
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Ogawa Yuji
Division Of Cardiology Asahikawa Kosei Hospital
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Hasebe Naoyuki
旭川医科大学 内科学循環呼吸神経病態内科学
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Shiokoshi Takahiro
Division Of Cardiology Asahikawa Kosei Hospital
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Hasebe Naoyuki
The First Department Of Internal Medicine Asahikawa Medical College
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Kikuchi Kenjiro
The First Department Of Medicine
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