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

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 c...

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Detalles Bibliográficos
Autores principales: Jiao, Zhenyu, Tian, Ying, Yang, Xinchun, Liu, Xingpeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5718724/
https://www.ncbi.nlm.nih.gov/pubmed/28627977
http://dx.doi.org/10.1177/0300060517708694
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author Jiao, Zhenyu
Tian, Ying
Yang, Xinchun
Liu, Xingpeng
author_facet Jiao, Zhenyu
Tian, Ying
Yang, Xinchun
Liu, Xingpeng
author_sort Jiao, Zhenyu
collection PubMed
description 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 4.36 s. 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.
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spelling pubmed-57187242017-12-11 Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope Jiao, Zhenyu Tian, Ying Yang, Xinchun Liu, Xingpeng J Int Med Res Case Reports 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 4.36 s. 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. SAGE Publications 2017-06-19 2017-10 /pmc/articles/PMC5718724/ /pubmed/28627977 http://dx.doi.org/10.1177/0300060517708694 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Jiao, Zhenyu
Tian, Ying
Yang, Xinchun
Liu, Xingpeng
Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope
title Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope
title_full Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope
title_fullStr Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope
title_full_unstemmed Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope
title_short Masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope
title_sort masquerading bundle branch block as a presenting manifestation of complete atrioventricular block that caused syncope
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5718724/
https://www.ncbi.nlm.nih.gov/pubmed/28627977
http://dx.doi.org/10.1177/0300060517708694
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