Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope

被引：4

作者：

Jiao, Zhenyu ^{[1
]}

Tian, Ying ^{[1
]}

Yang, Xinchun ^{[1
]}

Liu, Xingpeng ^{[1
]}

机构：

[1] Capital Med Univ, Beijing Chaoyang Hosp, Ctr Heart, 8 Chaoyang Dist Rd, Beijing 100020, Peoples R China

来源：

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2017年 / 45卷 / 05期

关键词：

Masquerading bundle branch block; syncope;

D O I：

10.1177/0300060517708694

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

A 59-year-old male patient was admitted with the main complaints of stuffiness and shortness of breath. An ECG from precordial leads on admission showed masquerading bundle branch block. Syncope frequently occurred after admission. During syncope episodes, ECG telemetry showed that the syncope was caused by intermittent complete atrioventricular block, with the longest RR interval lasting for 4.36s. At the gap of syncope, ECG showed complete right bundle branch block accompanied by alternation of left anterior fascicular block and left posterior fascicular block. The patient was implanted with a dual-chamber permanent pacemaker. Follow-up of 9 months showed no reoccurrence of syncope.

引用

页码：1597 / 1601

页数：5