Iatrogenic Transient Complete Heart Block in a Preexisting LBBB
Autor: | Christopher Bonnet, Omer Bajwa, Adil S. Wani, Adebayo Fasanya, Prachi Kalamkar |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
Heart block medicine.medical_treatment 030232 urology & nephrology Case Report Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine medicine.artery Internal medicine medicine Asystole Cardiac catheterization business.industry Left bundle branch block lcsh:Medical emergencies. Critical care. Intensive care. First aid Cardiac arrhythmia lcsh:RC86-88.9 medicine.disease Cannula Surgery Catheter Pulmonary artery Cardiology business 030217 neurology & neurosurgery |
Zdroj: | Case Reports in Critical Care, Vol 2016 (2016) Case Reports in Critical Care |
ISSN: | 2090-6439 2090-6420 |
Popis: | Catheter induced cardiac arrhythmia is a well-known complication encountered during pulmonary artery or cardiac catheterization. Injury to the cardiac conducting system often involves the right bundle branch which in a patient with preexisting left bundle branch block can lead to fatal arrhythmia including asystole. Such a complication during central venous cannulation is rare as it usually does not enter the heart. The guide wire or the cannula itself can cause such an injury during central venous cannulation. The length of the guide wire, its rigidity, and lack of set guidelines for its insertion make it theoretically more prone to cause such an injury. We report a case of LBBB that went into transient complete heart block following guide wire insertion during a central venous cannulation procedure. |
Databáze: | OpenAIRE |
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