Kaimoto Satoshi, Kawasaki Tatsuya, Taniguchi Takuya, Kawasaki Shingo, Kamitani Tadaaki, Sugihara Hiroki
Department of Cardiology, Matsushita Memorial Hospital, 5-55 Sotojima, Moriguchi, Osaka 570-8540, Japan.
J Cardiol Cases. 2013 May 16;8(1):e57-e59. doi: 10.1016/j.jccase.2013.04.005. eCollection 2013 Jul.
Masquerading bundle branch block is a rare and unique finding on a 12-lead electrocardiogram, consisting of the pattern of right bundle branch block in the precordial leads and left bundle branch block in the limb leads. We experienced a 77-year-old woman with masquerading bundle branch block. She had been well, but died suddenly 9 months after the diagnosis of masquerading bundle branch block. The presence of masquerading bundle branch block indicates severe degeneration of the conduction system, leading to a poor outcome. < Masquerading bundle branch block is a rare and unique finding on a 12-lead electrocardiogram, consisting of the pattern of right bundle branch block in the precordial leads and left bundle branch block in the limb leads. The presence of masquerading bundle branch block indicates severe degeneration of the conduction system, leading to a poor outcome. Close follow-up is mandatory in patients with masquerading bundle branch block even if they do not have any symptoms.>.
伪装性束支传导阻滞是12导联心电图上一种罕见且独特的表现,其特征为胸前导联呈现右束支传导阻滞图形,肢体导联呈现左束支传导阻滞图形。我们接诊了一名患有伪装性束支传导阻滞的77岁女性。她之前身体状况良好,但在被诊断为伪装性束支传导阻滞9个月后突然死亡。伪装性束支传导阻滞的存在表明传导系统严重退化,预后不良。<伪装性束支传导阻滞是12导联心电图上一种罕见且独特的表现,其特征为胸前导联呈现右束支传导阻滞图形,肢体导联呈现左束支传导阻滞图形。伪装性束支传导阻滞的存在表明传导系统严重退化,预后不良。即使没有任何症状,对患有伪装性束支传导阻滞的患者进行密切随访也是必要的。>