Rate-dependent Left Bundle Branch Block during Anaesthesia

Author:

Tyagi A.12,Sethi A. K.13,Agarwal V.14,Mohta M.15

Affiliation:

1. Department of Anaesthesiology and Critical Care, University College of Medical Sciences and GTB Hospital, Shahadra, Delhi, India

2. Department of Anaes-thesiology and Critical Care, University College of Medical Sciences & GTB Hospital.

3. Department of Anaesthesiology and Critical Care, University College of Medical Sciences and GTB Hospital.

4. , Cardiologist, Escorts Heart and Research Institute.

5. Reader, Department of Anaesthesiology and Critical Care, University College of Medical Sciences and GTB Hospital.

Abstract

Rate-dependent left bundle branch block during general anaesthesia is rare. Its occurrence makes electrocardiographic diagnosis of acute myocardial ischaemia or infarction difficult. It can also be confused with a slow rate ventricular tachycardia. We present a case of rate-dependent left bundle branch block in a patient with no previous history of ischaemic heart disease. Carotid sinus massage resulted in a decrease in heart rate and reversion to normal sinus rhythm.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine

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