Diagnosis of myocardialinfarction complicated by a complete block of His' bundleleft branch as shown by computed electrocardiotopography
- Authors: Udovichenko IA1, Sukhanova GI1
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Affiliations:
- Issue: Vol 79, No 11 (2004)
- Pages: 17-23
- Section: Editorial
- URL: https://ter-arkhiv.ru/0040-3660/article/view/29903
- ID: 29903
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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.
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