Find in Library
Search millions of books, articles, and more
Indexed Open Access Databases
Transient left bundle branch block and poor atrioventricular conduction during ablation of accessory pathway at the left ventricle
oleh: Kuo‐Feng Chiang, Chi‐Yen Wang, Jin‐Long Huang, Yu‐Cheng Hsieh
| Format: | Article |
|---|---|
| Diterbitkan: | Wiley 2020-12-01 |
Deskripsi
Abstract A 56‐year‐old female with manifest Wolff‐Parkinson‐White (WPW) syndrome was sent to emergency room because of preexcited atrial fibrillation (AF) and became sinus rhythm after cardioversion. Then, she received catheter ablation of a left‐sided lateral accessory pathway. The patient immediately developed Wenckebach atrioventricular (AV) block and left bundle branch block (LBBB) during the initial ablation. The ECG still showed LBBB 1 hour after ablation. The LBBB became narrow QRS (The QRS complex in the electrocardiogram. The QRS complex includes the Q wave, R wave, and S wave) 1 day later. Two weeks later, Holter's ECG showed normal sinus rhythm with 1:1 AV conduction even at the maximum heart rate of 125 beats/min. Transient LBBB and poor AV nodal conduction could occur during ablation by the trans‐aortic approach.