Anesthetic approach of a patient with acute left-branch block

<p><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Rate-dependent left bundle branch block is not a rare entity for the clinical practice in anesthesiology, but appears as a consequence of heart disease...

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Main Authors: Marcelino Sánchez Tamayo, Maribel Correa, Miguel Livan Sánchez Martín, Eivet García Real
Format: Article
Language:Spanish
Published: Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) 2018-10-01
Series:Revista Cubana de Anestesiología y Reanimación
Subjects:
Online Access:http://www.revanestesia.sld.cu/index.php/anestRean/article/view/60
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author Marcelino Sánchez Tamayo
Maribel Correa
Miguel Livan Sánchez Martín
Eivet García Real
author_facet Marcelino Sánchez Tamayo
Maribel Correa
Miguel Livan Sánchez Martín
Eivet García Real
author_sort Marcelino Sánchez Tamayo
collection DOAJ
description <p><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Rate-dependent left bundle branch block is not a rare entity for the clinical practice in anesthesiology, but appears as a consequence of heart diseases or not always due to slowness in atrial frequency above all, with coronary artery diseases diagnosed only after their being ruled out. <br /> <strong>Objective:</strong> To describe the clinical-anesthetic management of a patient who presented left bundle branch block for elective thoracic surgery due to mediastinal tumor.<br /> <strong>Findings</strong>: We present a clinical case of a female patient with rate-dependent left bundle branch block who was announced for thoracic surgery, without a previous history of coronary artery disease. The surgery proceeded without complications and with positive outcome.<br /> </span><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Conclusions</strong>: Rate-dependent left-branch block is a rare entity and a diagnosis ruling out other cardiovascular entities or not, such as myocardial ischemia. An adequate intraoperative management of the patient provides excellent outcome without clinical translation or complications. </span></p>
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spelling doaj.art-a79abe3bf406404da3eb8eb25e5a82e82022-12-21T22:52:45ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182018-10-0117159Anesthetic approach of a patient with acute left-branch blockMarcelino Sánchez Tamayo0Maribel CorreaMiguel Livan Sánchez MartínEivet García RealEditorial Ciencias Médicas. La Habana<p><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> Rate-dependent left bundle branch block is not a rare entity for the clinical practice in anesthesiology, but appears as a consequence of heart diseases or not always due to slowness in atrial frequency above all, with coronary artery diseases diagnosed only after their being ruled out. <br /> <strong>Objective:</strong> To describe the clinical-anesthetic management of a patient who presented left bundle branch block for elective thoracic surgery due to mediastinal tumor.<br /> <strong>Findings</strong>: We present a clinical case of a female patient with rate-dependent left bundle branch block who was announced for thoracic surgery, without a previous history of coronary artery disease. The surgery proceeded without complications and with positive outcome.<br /> </span><span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Conclusions</strong>: Rate-dependent left-branch block is a rare entity and a diagnosis ruling out other cardiovascular entities or not, such as myocardial ischemia. An adequate intraoperative management of the patient provides excellent outcome without clinical translation or complications. </span></p>http://www.revanestesia.sld.cu/index.php/anestRean/article/view/60bloqueo de rama izquierdaisquemia miocárdicabloqueo fase 3
spellingShingle Marcelino Sánchez Tamayo
Maribel Correa
Miguel Livan Sánchez Martín
Eivet García Real
Anesthetic approach of a patient with acute left-branch block
Revista Cubana de Anestesiología y Reanimación
bloqueo de rama izquierda
isquemia miocárdica
bloqueo fase 3
title Anesthetic approach of a patient with acute left-branch block
title_full Anesthetic approach of a patient with acute left-branch block
title_fullStr Anesthetic approach of a patient with acute left-branch block
title_full_unstemmed Anesthetic approach of a patient with acute left-branch block
title_short Anesthetic approach of a patient with acute left-branch block
title_sort anesthetic approach of a patient with acute left branch block
topic bloqueo de rama izquierda
isquemia miocárdica
bloqueo fase 3
url http://www.revanestesia.sld.cu/index.php/anestRean/article/view/60
work_keys_str_mv AT marcelinosancheztamayo anestheticapproachofapatientwithacuteleftbranchblock
AT maribelcorrea anestheticapproachofapatientwithacuteleftbranchblock
AT miguellivansanchezmartin anestheticapproachofapatientwithacuteleftbranchblock
AT eivetgarciareal anestheticapproachofapatientwithacuteleftbranchblock