Transient Bundle-branch Block.

نویسنده

  • G E BAUER
چکیده

IN a recent survey of 167 patients with buIndle-branch l)lock 1 10 in.stances of transient bundle-branch block were discovered. Since the completion of this study four more patients with this condition have been encountered. These 14 patients represent the subjects of this report. Transient bundle-branch block is defined as an intraventricular conduction defect that subsequently returns, if only temporarily, to normal conduction. A distinction is made between this condition and intermittent bundlebranch block, which is characterized by the presence, in a single electrocardiographic tracing, of complexes showing bundle-branch block and normally conducted beats, or very rarely pre-excitation complexes. These definitions vary somewhat from those of Holzmann,; who also recognized two forms of inconstant bundle-branch block, namely temporary bundle-branch block, in which the conduction defect persists for days or months, and intermittent bundle-branch block, in which the conduction defect lasts for seconds up to several hours. Thae condition here described has been referred to in the literature by several other terms including paroxysmal,4 unstable;, 6" and temporary3 bundle-branch block. It is proposed to review the literature, report 14 new cases and discuss the etiology and prognosis, and to speculate about the mechanism of this conduction disturbance.

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عنوان ژورنال:
  • Circulation

دوره 29  شماره 

صفحات  -

تاریخ انتشار 1964