正常个体在心脏导管插入术期间发生完全性心脏传导阻滞。

Complete heart block during cardiac catheterization in a normal individual.

作者信息

Baird C L, Borst M P, Maxfield D L

出版信息

Cathet Cardiovasc Diagn. 1984;10(6):597-601. doi: 10.1002/ccd.1810100610.

Abstract

A 44-year-old white male who developed third-degree heart block during cardiac catheterization is presented. Right heart catheterization precipitated bifascicular block, right bundle branch block with left posterior hemiblock, and resulted in third-degree heart block during the left heart procedure. It is recommended that multiple electrocardiographic lead monitoring be considered during cardiac catheterization in order to recognize more easily high-risk conduction disturbances, ie a bifascicular block pattern with frontal plane axis shifts.

摘要

本文介绍了一名44岁的白人男性，他在心脏导管插入术期间发生了三度心脏传导阻滞。右心导管插入术引发了双分支阻滞，即右束支传导阻滞合并左后分支阻滞，并在左心手术期间导致了三度心脏传导阻滞。建议在心脏导管插入术期间考虑进行多导联心电图监测，以便更轻松地识别高危传导障碍，即伴有额面电轴偏移的双分支阻滞模式。