Acute myocardial infarction in a patient with permanent left bundle branch pacing

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Francesco Deluca, Lina Marcantoni, Gianni Pastore, Simone Valenza, Giorgio Porcelli, Francesco Zanon
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引用次数: 0

Abstract

Background

Electrocardiographic diagnosis of acute myocardial infarction in the setting of cardiac pacing represents diagnostic challenge. There are no focusing data, neither reporting about diagnostic sensitivity of 12‑lead ECG with left bundle branch area pacing (LBBAP) during acute myocardial infarction (AMI).

Case summary

We present 12‑lead ECG morphology in a patient with permanent LBBAP during AMI.

Discussion

Abnormal repolarization changes induced by ventricular pacing can lead to delay in diagnosis in patients with AMI. LBBAP and overall conduction system pacing may facilitate a timely diagnosis providing additional, still underestimated, advantages of physiological pacing of the heart.

一名永久性左束支起搏患者的急性心肌梗死
背景在心脏起搏的情况下,急性心肌梗死的心电图诊断是一项挑战。目前还没有集中的数据,也没有关于急性心肌梗死(AMI)时左束支区起搏(LBBAP)的 12 导联心电图诊断灵敏度的报告。讨论心室起搏引起的异常再极化改变可能导致 AMI 患者的诊断延迟。LBBAP 和整体传导系统起搏可促进及时诊断,为心脏生理性起搏提供额外的、仍被低估的优势。
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来源期刊
Journal of electrocardiology
Journal of electrocardiology 医学-心血管系统
CiteScore
2.70
自引率
7.70%
发文量
152
审稿时长
38 days
期刊介绍: The Journal of Electrocardiology is devoted exclusively to clinical and experimental studies of the electrical activities of the heart. It seeks to contribute significantly to the accuracy of diagnosis and prognosis and the effective treatment, prevention, or delay of heart disease. Editorial contents include electrocardiography, vectorcardiography, arrhythmias, membrane action potential, cardiac pacing, monitoring defibrillation, instrumentation, drug effects, and computer applications.
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