Evans Cliff, Tippins Emma
Heatherwood and Wexham Park Hospitals, Emergency Department, Wexham Park Hospital, Wexham, Slough, Berkshire SL2 4HL, UK.
Int Emerg Nurs. 2008 Apr;16(2):109-18. doi: 10.1016/j.ienj.2008.02.003. Epub 2008 Mar 25.
There has been extensive coverage of acute myocardial infarction (AMI) and the acute coronary syndromes (ACS) in recent years, yet heart blocks involving the right and left bundle branches have received little coverage, despite their frequent co-existence. This article will commence with an overview of the ACS with which LBBB is synonymous, discussion on the initial management of these patients, and progress into highlighting both the clinical signs and symptoms related to the pathophysiological changes associated with blocks involving the bundle branches, and the associated electrical changes that can be identified on an electrocardiogram (ECG). The overall intension of this article is to increase practitioners' awareness and knowledge base surrounding this common clinical patient presentation and enhance clinical proficiency, thereby improving patient care and the management of patient's experiencing LBBB.
近年来，急性心肌梗死（AMI）和急性冠状动脉综合征（ACS）受到了广泛关注，然而，尽管右束支和左束支传导阻滞经常并存，但相关报道却很少。本文将首先概述与左束支传导阻滞（LBBB）同义的急性冠状动脉综合征，讨论这些患者的初始治疗，然后着重介绍与束支传导阻滞相关的病理生理变化所导致的临床体征和症状，以及心电图（ECG）上可识别的相关电变化。本文的总体目的是提高从业者对这种常见临床患者表现的认识和知识储备，增强临床能力，从而改善患者护理以及对患有左束支传导阻滞患者的管理。
