Trifascicular block in patient with acute coronary syndrome
Keywords:
Arrhythmias, Cardiac, Heart Block, heart failure, Coronary DiseaseAbstract
Introduction: prolongation of the QRS complex due to complete and incomplete blockages of the left branch of the His bundle is an important predisposing factor for systolic heart failure. Cardiac resynchronization therapy that includes the use of an implantable cardiac device can provide clinical benefit for patients suffering from these pathologies.
Case Report: the case of a 65 year-old female patient, suffering from Hypertension and Ischemic Cardiophaty, who had a long history of decompensating crisis of her particular diseases over the years. She was admitted complaining of oppressive chest pain, which showed up suddenly. With the realization of an electrocardiogram a diagnosis of left bundle branch block and a minor-degree atrioventricular block associated was made.
Conclusions: trifascicular blockades can be shown as fatal complications of ischemic cardiophaty. The auricular ventricle or intraventricular blockades have extensive presentation population between the 6th and 8th decades of life.
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References
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2. Elsayed YMH. Acute myocardial infarction associated with right bundle branch block and changeable trifascicular block: a case report. J Acute Dis [Internet]. 2019 [cited 2019 Jun 10]; 8 (5): 215-220. Available at: http://journals.hainmc.edu.cn/jad/article/abstract/20190508
3. Prinzen FW, Vernooy K, Auricchio A. Cardiac resynchronization therapy. State-of-the art of current applications, guidelines, ongoing trials, and areas of controversy. Circulation [Internet]. 2013[cited 2019 Jun 15]; 128: 2407-18. Available at: https://www.ahajournals.org/doi/full/10.1161/circulationaha.112.000112
4. Rozman C, Cardellach López F. Farreras Rozman. Medicina Interna [Internet]. 18 va ed. Barcelona, España: Elsevier España, S.L.U.; 2016 [cited 27 Nov 2017]. Available at: https://www.clinicalkey.es/#!/content/book/3-s2.0-B9788490229965000557
5. Noya Chaveco ME, Moya Gonzáles NL. Roca Goderich Temas de Medicina Interna. 5ta ed. La Habana, Cuba: Editorial de Ciencias Médicas; 2017. pp 447-58.
6. Ministerio de Salud Pública. Dirección de Registros Médicos y Estadística de salud. Anuario Estadístico de Salud 2018. [Internet]. 2019 [cited 2019 Feb 20]. [approx. 193 p.]. Available at: http://files.sld.cu/dne/files/2019/05/Anuario-2018-Ingles-compressed.pdf
7. Jobling K, Rajabally H, Ng WF. Anti-Ro antibodies and complete heart block in adults with Sjögren’s syndrome. Eur J Rheumatol [Internet]. 2018 [cited 2019 Sep 10]; 5 (3): 194-6. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116846/
8. Nadine A, Daniel K, Ahran A, Shun-Shin M, Whinnett ZI, Sohaib A. His Bundle Pacing: A New Frontier in the Treatment of Heart Failure. Arrhythm & Electrophysiol Review [Internet]. 2018 [cited 2019 Nov 15]; 7 (2): 103–10. Available at: https://doi.org/10.15420/aer.2018.6.2
9. Tan AWX, Ho KL, Ching CK, Chua KCM. An implantable cardioverter defibrillator in a patient with triple mechanical valves. Clin Case Rep. 2018 [cited 2019 Sep 05]; 6 (9): 1795–1800. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132153/
10. Hideyuki Hasebe. A Patient with Left Bundle Branch Block and Persistent Atrial Fibrillation Treated with Cardiac Catheter Ablation and Pharmacologic Cardiac Resynchronization Therapy without the Use of an Implantable Cardiac Device. Am J Case Rep [Internet]. 2018 [cited 2019 Aug 29]; 19: 123-127. Available at: https://www.amjcaserep.com/abstract/index/idArt/907268
Published
2020-01-01
How to Cite
1.
Almira-Gómez CR, Guach-Hevia DA, Rosales-Pupo LB. Trifascicular block in patient with acute coronary syndrome. Univ. Méd. Pinareña [Internet]. 2020 Jan. 1 [cited 2025 Apr. 15];16(1):e387. Available from: https://revgaleno.sld.cu/index.php/ump/article/view/387
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Case report
