Source:http://linkedlifedata.com/resource/pubmed/id/10636536
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
2000-2-2
|
pubmed:abstractText |
This report concerns a 74-year-old patient who had undergone aortic valve replacement 11 years earlier. On admission, the patient complained of shortness of breath when climbing two flights of stairs; there was no history of dizziness, fainting or sensations of arrhythmias. An ECG at rest showed first-degree atrioventricular (A-V) block together with left bundle branch block (LBBB). On bicycle ergometry, there was a fall in blood pressure and in heart rate due to a second-degree (2:1) A-V block along with the LBBB. After termination of exercise, the PR interval increased further from 0.24 s to >0.3 s, together with right bundle branch block (RBBB) and 1:1 A-V conduction instead of LBBB. Finally, at a constant atrial rate of 98/min, the RBBB disappeared, LBBB recurred, again with 2:1 A-V conduction. The diagnosis was bilateral BBB together with first degree A-V block at rest and higher-degree A-V block on effort. The patient underwent pacemaker implantation and was discharged shortly thereafter free of symptoms.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Dec
|
pubmed:issn |
0167-5273
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
1
|
pubmed:volume |
71
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
283-6
|
pubmed:dateRevised |
2006-7-12
|
pubmed:meshHeading |
pubmed-meshheading:10636536-Aged,
pubmed-meshheading:10636536-Aortic Valve,
pubmed-meshheading:10636536-Bundle-Branch Block,
pubmed-meshheading:10636536-Cardiac Pacing, Artificial,
pubmed-meshheading:10636536-Electrocardiography,
pubmed-meshheading:10636536-Endomyocardial Fibrosis,
pubmed-meshheading:10636536-Exercise Test,
pubmed-meshheading:10636536-Heart Rate,
pubmed-meshheading:10636536-Heart Valve Prosthesis,
pubmed-meshheading:10636536-Humans,
pubmed-meshheading:10636536-Male,
pubmed-meshheading:10636536-Recurrence
|
pubmed:year |
1999
|
pubmed:articleTitle |
Recurrent symptomatic bilateral bundle branch block in a 74-year-old patient with a prosthetic aortic valve: a description of a case and review of the literature.
|
pubmed:affiliation |
schmitt@dhm.mhn.de
|
pubmed:publicationType |
Letter,
Review
|