一例“伪装性”束支传导阻滞病例：一个被遗忘的概念。

A case of 'Masquerading' bundle branch block: a forgotten concept.

作者信息

Choudhary Dinesh, Namboodiri Narayanan, Tharakan Jaganmohan A

机构信息

Fellow in Cardiac Electrophysiology, Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram 695 011, India.

Associate Professor, Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, India.

出版信息

Indian Heart J. 2014 Jan-Feb;66(1):139-40. doi: 10.1016/j.ihj.2013.12.025. Epub 2013 Dec 30.

DOI:10.1016/j.ihj.2013.12.025

PMID:24581112

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4054846/

Abstract

'Masquerading' bundle branch block (right bundle branch block in the precordial leads with left bundle branch block in frontal leads and left axis deviation) is seen most commonly with coronary artery disease and hypertension. No definite explanation is available so far for these changes. We are presenting a case of rare congenital intranuclear inclusion myopathy with congestive heart failure and 'Masquerading' bundle branch block in ECG.

摘要

“伪装性”束支传导阻滞（胸前导联呈右束支传导阻滞，额面导联呈左束支传导阻滞且电轴左偏）最常见于冠状动脉疾病和高血压。目前对于这些变化尚无确切解释。我们现报告一例罕见的先天性核内包涵体肌病患者，该患者伴有充血性心力衰竭，心电图表现为“伪装性”束支传导阻滞。