Email this article Diagnosis of myocardialinfarction complicated by a complete block of His' bundleleft branch as shown by computed electrocardiotopography
- Authors: Udovichenko IA1,2, Sukhanova GI1,2
-
Affiliations:
- Владивостокский государственный медицинский университет
- санаторий "Амурский залив"
- Issue: Vol 79, No 11 (2004)
- Pages: 17-23
- Section: Editorial
- URL: https://journals.rcsi.science/0040-3660/article/view/29903
- ID: 29903
Cite item
Full Text
Abstract
Aim. To assess efficacy of computed electrocardiotopography (CECT) in diagnosis of myocardial infarction (MI)
complicated by a complete block of His' bundle left branch (HBLB).
Material and methods. Twenty two patients with a complete block of HBLB have undergone CECT
(hardware Rhythm-M, software "Rhythm"and "Heart").
Results. Five patients had no scars. The rest 17 patients had MI. The diagnosis of MI was definite by
ECG in 6(35%) patients. In 11 (65%) patients MI diagnosis by ECG was doubtful. Only CECT detected
typical for MI changes in the QRS changes.
Conclusion. CECT can significantly detect scars in the myocardium in a complete block of HBLB and
improves diagnostic potential of ECG.
complicated by a complete block of His' bundle left branch (HBLB).
Material and methods. Twenty two patients with a complete block of HBLB have undergone CECT
(hardware Rhythm-M, software "Rhythm"and "Heart").
Results. Five patients had no scars. The rest 17 patients had MI. The diagnosis of MI was definite by
ECG in 6(35%) patients. In 11 (65%) patients MI diagnosis by ECG was doubtful. Only CECT detected
typical for MI changes in the QRS changes.
Conclusion. CECT can significantly detect scars in the myocardium in a complete block of HBLB and
improves diagnostic potential of ECG.
About the authors
I A Udovichenko
Владивостокский государственный медицинский университет; санаторий "Амурский залив"Владивостокский государственный медицинский университет; санаторий "Амурский залив"
G I Sukhanova
Владивостокский государственный медицинский университет; санаторий "Амурский залив"Владивостокский государственный медицинский университет; санаторий "Амурский залив"
References
- Томов Л., Томов И. Л. Нарушения ритма сердца. София: Медицина и физкультура; 1979.
- Кечкер М. И. Руководство по клинической электрокардиографии. М.; 2000. 108-114, 219-223.
- Йнькова А. Л. Неотложная кардиология. Ростов н/Д: Феникс; 2001. 121-125.
- Дощицин В. Л. Клиническая электрокардиография. М.: Мед. информ. агентство; 1999. 173-176.
- Хан М. Г. Быстрый анализ ЭКГ. М.: Бином; 1999. 87-91.
- Дощицин В. Л. Блокады сердца. М.: Медицина; 1979. 115- 121.
- Амиров Р. З. Интегральные топограммы потенциалов сердца. М.: Наука; 1973.
- Голухова Е.З., Полякова И. П., Адамян М. Г. и др. Диагностика Рубцовых изменений миокарда у больных ишемической болезнью сердца на фоне блокады левой ножки пучка Гиса. Кардиология 1998; 11: 43-49.
- Абилдсков Дж. А., Люис Р. Л. Электрокардиографическое картографирование поверхности тела. Кардиология 1987; 7: 18-21.
- Koch К. С., Vom-Dahl J. Electromechanical mapping of the heart. Curr. Opin. Cardiol. 2000; 15 (5): 337-342.
- Schmitt C., Narepepa C., Deisenhofer I. et al. Recent advances in cardiac mapping techniques. Curr. Cardiol. Rep. 1999; 1 (2): 149-156.
- Leder U., Pohl H. P., Michaelsen S. et al. Noninvasive biomagnetic imaging in coronary artery disease on individual current density maps of the heart. Int. J. Cardiol. 1998; 64 (1): 83-92.
- Menown I. В., Patterson Z. S., MacKenzie G. et al. Bodysurface map models for early diagnosis of acute myocardial infarctoin. J. Electrocardiol. 1998; 31: 1180-1188.
- Umetani K., Okamoto Y., Mashima S. et al. Body surface Laplacian mapping in patients with left or right ventricular bundle branch block. Pacing Clin. Electrophysiol. 1998; 21 (11, pt 1): 1043-1054.
- Сыркин А. Л. Инфаркт миокарда. М.: Мед. информ. агентство; 1998. 165-176.
- Руксин В. В. Неотложная кардиология. СПб.: Невский диалект; 2001. 323-324.
