Misdiagnosis of New Bifascicular Block

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Surgical bifascicular block.

Electrophysiological studies were performed in 18 patients who developed bifascicular block after repair of ventricular septal defect (VSD) or tetralogy of Fallot (TF). Two had transient complete heart block (CHB) in the immediate postoperative period. The P-A intervals were normal in all. A-H and H-V intervals were prolonged in three and four cases, respectively. Atrial pacing at progressively...

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Risk of cardiac complications in surgical patients with bifascicular block.

CHEST, 79: 4, APRIL, 1981 limitation, Simon3 has suggested using an absolute measurement of the transverse heart diameter, and normative data are available. These data, taken from 100 normal chest radiographs, puts the upper limit of normal at 15.5 cm in the male and 14.00 cm in the female (with median values of 12.5 and 11.5 cm respectively). In the 100 chest radiographs reviewed by Simon and ...

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Editorial: Prognosis of Patients with Chronic Bifascicular Block

OF ALL RECENT conceptual advances in electrocardiography, few, if any, are as popular as the concept of a trifascicular conduction system distal to the bifurcation of the His bundle.' The wide appeal of the trifascicular concept is understandable. The distinct morphological electrocardiographic patterns of various fascicular blocks are easily recognizable even to a nonexpert. The schematic diag...

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[Novel predictors of progression of atrioventricular block in patients with chronic bifascicular block].

INTRODUCTION AND OBJECTIVES Patients with chronic bifascicular block (BFB) can progress to advanced atrioventricular block (AVB), especially when syncope or a prolonged HV interval is present. It is possible that other variables could help identify patients who would benefit from prophylactic pacemaker implantation. METHODS The study involved 263 consecutive BFB patients seen at a single cent...

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Significance of chronic bifascicular block without apparent organic heart disease.

Eighty-six of 452 patients (19%) with chronic bifascicular block were found to have no clinically apparent associated organic heart disease (OHD) and were defined as having primary conduction disease (PCD). Comparison of patients with PCD and OHD revealed a significantly lower incidence of the following clinical variables in the PCD patients (p less than 0.001): exertional angina, dyspnea, cong...

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ژورنال

عنوان ژورنال: Circulation

سال: 1999

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circ.100.11.1250/-a