中间支闭塞引起的短暂性左束支阻滞诱发急性心力衰竭。

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Noninvasive Electrocardiology Pub Date : 2024-12-08 DOI:10.1111/anec.70038

Mehmet Eren, Yalcin Velibey

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引用次数: 0

摘要

我们提出一个急性失代偿性心力衰竭的情况下，由于短暂的左束分支阻滞（LBBB）作为中间分支（RI）闭塞的后果。一位63岁的女性因急性发作的典型胸痛和肺水肿，新诊断的LBBB和左心室收缩功能障碍而入院。冠状动脉造影显示RI骨段严重狭窄。冠状动脉血运重建成功后，LBBB完全消失，左室收缩功能和症状均有所改善。就左束支的解剖血液供应而言，RI闭塞导致的短暂性LBBB是不寻常的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Transient Left Bundle Branch Block Induced Acute Heart Failure as a Consequence of Ramus Intermedius Occlusion

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Transient Left Bundle Branch Block Induced Acute Heart Failure as a Consequence of Ramus Intermedius Occlusion

We present a case of acute decompensated heart failure due to transient left bundle branch block (LBBB) as a consequence of a ramus intermedius (RI) occlusion. A 63-year-old woman was admitted with acute onset of typical chest pain and pulmonary edema, a newly diagnosed LBBB and left ventricular (LV) systolic dysfunction. A coronary angiogram demonstrated critical stenosis at the osteal segment of RI. After successful coronary revascularization, LBBB was completely resolved, with an improvement in LV systolic function and symptoms. In terms of anatomical blood supply of the left bundle branch, transient LBBB as a consequence of an RI occlusion is unusual.

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.