Unusual manifestation of left ventricular electrical conduction delay on the surface 12-lead electrocardiogram in a patient with prior myocardial infarction
Autor: | Hisaaki Komaki, Yuki Sahashi, Kazuhiko Nishigaki, Tomoki Kubota, Hiroyuki Okura, Takashi Nakashima, Nobuhiro Takasugi |
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Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Heart Ventricles Bundle-Branch Block Cardiac resynchronization therapy Myocardial Infarction 030204 cardiovascular system & hematology Lesion 03 medical and health sciences QRS complex Electrocardiography 0302 clinical medicine Heart Conduction System Electrical conduction Internal medicine medicine Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction Left bundle branch block business.industry medicine.disease Electrophysiology medicine.anatomical_structure Ventricle cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business |
Zdroj: | Journal of electrocardiology. 55 |
ISSN: | 1532-8430 |
Popis: | We describe a 41-year-old man with a prior history of myocardial infarction, whose surface 12-lead electrocardiogram did not show typical left bundle-branch block pattern or wide QRS complex. However, electrophysiological study showed distinct left ventricular electrical conduction delays. The surface 12-lead electrocardiogram modified to the paper at 50 mm/s and double standard (20 mm equals 1 mV) revealed obvious notches of the terminal forces of the QRS in leads II, III, aVL, aVF, V3, V4, V5, and V6, these might be partially consistent with left ventricular electrical conduction delay in the scar lesion of the infero-posterior of the ventricle. |
Databáze: | OpenAIRE |
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