2020, Número 1
Bloqueo trifascicular en pacientes con síndrome coronario agudo
Idioma: Español
Referencias bibliográficas: 10
Paginas: 1-5
Archivo PDF: 752.13 Kb.
RESUMEN
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.
REFERENCIAS (EN ESTE ARTÍCULO)
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
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