Exercise-induced left fascicular block: A forgotten sign of coronary disease
| Autor: | Virginia Ruiz-Pizarro, Miguel Ángel Cobos-Gil, Julián Palacios-Rubio |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Coronary angiography
medicine.medical_specialty Physical examination Coronary disease Coronary artery disease Bloqueio fascicular anterior esquerdo medicine.artery Internal medicine medicine Diseases of the circulatory (Cardiovascular) system cardiovascular diseases Treadmill General Environmental Science Doença coronária medicine.diagnostic_test business.industry Dobutamine stress Prova de esforço em tapete rolante medicine.disease Right coronary artery RC666-701 cardiovascular system Cardiology General Earth and Planetary Sciences Cardiology and Cardiovascular Medicine business Left posterior fascicular block |
| Zdroj: | Revista Portuguesa de Cardiologia (English Edition), Vol 40, Iss 9, Pp 695.e1-695.e4 (2021) |
| ISSN: | 2174-2049 |
| Popis: | A 55-year-old patient presented with stable angina pectoris with normal physical examination on rest electrocardiogram and cardiac echocardiogram. Treadmill test revealed exercise-induced left posterior fascicular block, which is an uncommon and easily unnoticed marker of coronary artery disease. A dobutamine stress echocardiogram was performed, with a clearly positive result. Coronary angiography revealed critical stenosis in the right coronary artery. Resumo: Doente de 55 anos com angina estável e com eletrocardiograma e ecocardiograma normais. A prova de esforço em tapete rolante revelou bloqueio fascicular anterior esquerdo induzido pelo esforço, um marcador relativamente pouco conhecido de doença coronária. Foi realizado um ecocardiograma de esforço com dobutamina que foi claramente positivo. A angiografia coronária revelou estenose crítica da artéria coronária direita. |
| Databáze: | OpenAIRE |
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