Left Bundle Branch Block
Author(s) -
Jacob I. Haft,
Michael V. Herman,
Richard Gorlin
Publication year - 1971
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.43.2.279
Subject(s) - medicine , left bundle branch block , cardiology , coronary artery disease , bundle branch block , cardiomyopathy , left coronary artery , contraction (grammar) , coronary angiography , artery , electrocardiography , heart failure , myocardial infarction
Coronary angiography, cine left ventriculography, and the cardiovascular hemodynamics of 24 patients with left bundle branch block were studied. Seven patients were found to have significant coronary artery disease, always severe. Five had cardiomyopathy and seven had valvular disease. Only those with coronary artery disease or cardiomyopathy had abnormal left ventricular contraction patterns. The onset of left ventricular contraction was delayed in the patients with left bundle branch block, but the period of isovolumic contraction was normal in those without severe underlying disease. Left axis deviation in addition to left bundle branch block did not imply more frequent coronary atherosclerosis.
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