Zusammenfassung
Patients with bundle branch block (BBB), right bundle branch block plus left anterior or left posterior fascicular block or left bundle branch block are at higher risk of developing high-degree atrioventricular (AV) block. A significant problem in the evaluation of syncope and BBB is the transient nature of high-degree AV block and, therefore, the long periods required to document it by ECG.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Donateo P, Alboni P, Brignole M et al (2000) The mechanism of syncope in patients with bundle branch block (abstract). Europace (Suppl)2:A43
Gronda M, Magnani A, Occhetta E et al (1984) Electrophysiologic study of atrio-ven-tricular block and ventricular conduction defects. G Ital Cardiol 14:768–773
Bergfeldt L, Edvardsson N, Rosenqvist M et al (1994) Atrioventricular block progression in patients with bifascicular block assessed by repeated electrocardiography and a bradycardia-detecting pacemaker. Am J Cardiol 74:1129–1132
Link M, Kim KM, Homoud M et al (1999) Long-term outcome of patients with syncope associated with coronary artery disease and a non-diagnostic electrophysiological evaluation. Am J Cardiol 83:1334–1337
Gaggioli G, Bottoni N, Brignole M et al (1994) Progression to second- or third-degree atrioventricular block in patients electrostimulated for bundle branch block: a long-term study. G Ital Cardiol 24:409–416
Click R, Gersh B, Sugrue D et al (1987) Role of invasive electrophysiologic testing in patients with symptomatic bundle branch block. Am J Cardiol 59:817–823
Englund A, Bergfeldt L, Rehnquist N et al (1995) Diagnostic value of programmed ventricular stimulation in patients with bifascicular block: a prospective study in patients with and without syncope. J Am Coll Cardiol 26:1508–1515
Krahn AD, Klein G J, Yee R et al (1999) Use of an extended monitoring strategy in patients with problematic syncope. Reveal Investigators. Circulation 99:406–410
Brignole M, Menozzi C, Moya A et al (2001) The mechanism of syncope in patients with bundle branch block and negative electrophysiologic test. Circulation (in press)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Italia
About this paper
Cite this paper
Menozzi, C., Bottoni, N., Brignole, M. (2002). Intraventricular Conduction Disturbances and Negative Electrophysiologic Study in Patients with Syncope: What Should One Do?. In: Raviele, A. (eds) Cardiac Arrhythmias 2001. Springer, Milano. https://doi.org/10.1007/978-88-470-2103-7_9
Download citation
DOI: https://doi.org/10.1007/978-88-470-2103-7_9
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2165-5
Online ISBN: 978-88-470-2103-7
eBook Packages: Springer Book Archive