Exercise-Induced Bundle Branch Block - an Infrequent Incidence

We describe an elderly woman who underwent a treadmill test preoperatively and was found to have Exercise-induced Left Bundle Branch Block without chest pain. Coronary angiogram was done which revealed a 70% stenosis in the fi rst diagonal branch of Left Anterior Descending Artery and a 40% lesion i...

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Bibliographic Details
Main Authors: Sheelendra Shakya, Arun Maskey
Format: Article
Language:English
Published: HEAD Nepal 2020-06-01
Series:Nepalese Medical Journal
Subjects:
Online Access:https://www.nepjol.info/index.php/nmj/article/view/25856
Description
Summary:We describe an elderly woman who underwent a treadmill test preoperatively and was found to have Exercise-induced Left Bundle Branch Block without chest pain. Coronary angiogram was done which revealed a 70% stenosis in the fi rst diagonal branch of Left Anterior Descending Artery and a 40% lesion in proximal Right Coronary Artery. Available literature attributes rate-dependent transient conduction defects to obstructive lesions of coronary arteries, slow arterial blood fl ow, vasospasms as well as pathology in the Bundle of His.
ISSN:2631-2093
2645-8586