希氏束下传导障碍与交替性左前/后分支阻滞
Infra-Hisian Conduction Disturbance and Alternating Left Anterior/Posterior Fascicular Block.
作者信息
Lacharite-Roberge Anne-Sophie, Petersen Gregory M, Patel Kavisha, Hsu Jonathan C, Han Frederick T, Feld Gregory K, Scheinman Melvin, Hoffmayer Kurt S
机构信息
Section of Electrophysiology, Division of Cardiology, Department of Medicine, University of California-San Diego, La Jolla, California, USA.
Department of Medicine, University of California-San Diego, La Jolla, California, USA.
出版信息
JACC Case Rep. 2024 May 15;29(12):102363. doi: 10.1016/j.jaccas.2024.102363. eCollection 2024 Jun 19.
We present an unusual case of alternating left anterior and left posterior fascicular block. Given the known risk for progression to complete atrioventricular block with alternating right bundle and left bundle branch block, we performed an electrophysiological study. Findings were consistent with infra-Hisian disease, and the patient underwent pacemaker implantation.
我们报告一例罕见的交替性左前分支和左后分支阻滞病例。鉴于已知交替性右束支和左束支阻滞有进展为完全性房室阻滞的风险，我们进行了电生理检查。检查结果与希氏束以下病变相符，该患者接受了起搏器植入术。
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