Intermittent left bundle branch block caused by coronary vasospasm

Intermittent left bundle branch block (LBBB) has been reported in the literature following certain conditions such as cardiac blunt trauma, myocardial infarction (MI) or exercise induced LBBB. In the majority of cases, the patients usually have underlying coronary arteries disease. LBBB often preven...

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Autor principal:	Mohammad Alhaji
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2013
Materias:	chest pain coronary vasospasm left bundle branch block Medicine R
Acceso en línea:	https://doaj.org/article/73c85b7bee3c473abf149bf9d1174ba5
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spelling	oai:doaj.org-article:73c85b7bee3c473abf149bf9d1174ba52021-12-02T17:59:10ZIntermittent left bundle branch block caused by coronary vasospasm2231-07702249-446410.4103/2231-0770.114129https://doaj.org/article/73c85b7bee3c473abf149bf9d1174ba52013-04-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.114129https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Intermittent left bundle branch block (LBBB) has been reported in the literature following certain conditions such as cardiac blunt trauma, myocardial infarction (MI) or exercise induced LBBB. In the majority of cases, the patients usually have underlying coronary arteries disease. LBBB often prevents the electrocardiographic diagnosis of acute MI; therefore, new LBBB in the setting of chest pain is usually treated as transmural MI. We describe a case of patient who presented with intermittent LBBB associated with chest pain, and subsequently the patient was taken to the catheterization laboratory for emergency coronary angiogram, which revealed 80% spasm in left anterior descending artery, which was totally relieved by nitroglycerin infusion. No other significant CAD was noted.Mohammad AlhajiThieme Medical and Scientific Publishers Pvt. Ltd.articlechest paincoronary vasospasmleft bundle branch blockMedicineRENAvicenna Journal of Medicine, Vol 03, Iss 02, Pp 50-52 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	chest pain coronary vasospasm left bundle branch block Medicine R
spellingShingle	chest pain coronary vasospasm left bundle branch block Medicine R Mohammad Alhaji Intermittent left bundle branch block caused by coronary vasospasm
description	Intermittent left bundle branch block (LBBB) has been reported in the literature following certain conditions such as cardiac blunt trauma, myocardial infarction (MI) or exercise induced LBBB. In the majority of cases, the patients usually have underlying coronary arteries disease. LBBB often prevents the electrocardiographic diagnosis of acute MI; therefore, new LBBB in the setting of chest pain is usually treated as transmural MI. We describe a case of patient who presented with intermittent LBBB associated with chest pain, and subsequently the patient was taken to the catheterization laboratory for emergency coronary angiogram, which revealed 80% spasm in left anterior descending artery, which was totally relieved by nitroglycerin infusion. No other significant CAD was noted.
format	article
author	Mohammad Alhaji
author_facet	Mohammad Alhaji
author_sort	Mohammad Alhaji
title	Intermittent left bundle branch block caused by coronary vasospasm
title_short	Intermittent left bundle branch block caused by coronary vasospasm
title_full	Intermittent left bundle branch block caused by coronary vasospasm
title_fullStr	Intermittent left bundle branch block caused by coronary vasospasm
title_full_unstemmed	Intermittent left bundle branch block caused by coronary vasospasm
title_sort	intermittent left bundle branch block caused by coronary vasospasm
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2013
url	https://doaj.org/article/73c85b7bee3c473abf149bf9d1174ba5
work_keys_str_mv	AT mohammadalhaji intermittentleftbundlebranchblockcausedbycoronaryvasospasm
_version_	1718378998169337856

Intermittent left bundle branch block caused by coronary vasospasm

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