Iatrogenic Transient Complete Heart Block in a Preexisting LBBB
Catheter induced cardiac arrhythmia is a well-known complication encountered during pulmonary artery or cardiac catheterization. Injury to the cardiac conducting system often involves the right bundle branch which in a patient with preexisting left bundle branch block can lead to fatal arrhythmia in...
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Format: | Article |
Language: | English |
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Wiley
2016-01-01
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Series: | Case Reports in Critical Care |
Online Access: | http://dx.doi.org/10.1155/2016/9531210 |
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author | Adil S. Wani Adebayo Fasanya Prachi Kalamkar Christopher A. Bonnet Omer A. Bajwa |
author_facet | Adil S. Wani Adebayo Fasanya Prachi Kalamkar Christopher A. Bonnet Omer A. Bajwa |
author_sort | Adil S. Wani |
collection | DOAJ |
description | Catheter induced cardiac arrhythmia is a well-known complication encountered during pulmonary artery or cardiac catheterization. Injury to the cardiac conducting system often involves the right bundle branch which in a patient with preexisting left bundle branch block can lead to fatal arrhythmia including asystole. Such a complication during central venous cannulation is rare as it usually does not enter the heart. The guide wire or the cannula itself can cause such an injury during central venous cannulation. The length of the guide wire, its rigidity, and lack of set guidelines for its insertion make it theoretically more prone to cause such an injury. We report a case of LBBB that went into transient complete heart block following guide wire insertion during a central venous cannulation procedure. |
format | Article |
id | doaj-art-d915cd2b2e634686842717f2a4f502e7 |
institution | Kabale University |
issn | 2090-6420 2090-6439 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Critical Care |
spelling | doaj-art-d915cd2b2e634686842717f2a4f502e72025-02-03T01:10:02ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/95312109531210Iatrogenic Transient Complete Heart Block in a Preexisting LBBBAdil S. Wani0Adebayo Fasanya1Prachi Kalamkar2Christopher A. Bonnet3Omer A. Bajwa4Department of Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USADepartment of Pulmonary-Critical Care, Allegheny General Hospital, Pittsburgh, PA 15212, USADepartment of Medicine, Conemaugh Memorial Medical Center, Johnstown, PA 15905, USADepartment of Clinical Cardiac Electrophysiology, Allegheny General Hospital, Pittsburgh, PA 15212, USADepartment of Pulmonary-Critical Care, Allegheny General Hospital, Pittsburgh, PA 15212, USACatheter induced cardiac arrhythmia is a well-known complication encountered during pulmonary artery or cardiac catheterization. Injury to the cardiac conducting system often involves the right bundle branch which in a patient with preexisting left bundle branch block can lead to fatal arrhythmia including asystole. Such a complication during central venous cannulation is rare as it usually does not enter the heart. The guide wire or the cannula itself can cause such an injury during central venous cannulation. The length of the guide wire, its rigidity, and lack of set guidelines for its insertion make it theoretically more prone to cause such an injury. We report a case of LBBB that went into transient complete heart block following guide wire insertion during a central venous cannulation procedure.http://dx.doi.org/10.1155/2016/9531210 |
spellingShingle | Adil S. Wani Adebayo Fasanya Prachi Kalamkar Christopher A. Bonnet Omer A. Bajwa Iatrogenic Transient Complete Heart Block in a Preexisting LBBB Case Reports in Critical Care |
title | Iatrogenic Transient Complete Heart Block in a Preexisting LBBB |
title_full | Iatrogenic Transient Complete Heart Block in a Preexisting LBBB |
title_fullStr | Iatrogenic Transient Complete Heart Block in a Preexisting LBBB |
title_full_unstemmed | Iatrogenic Transient Complete Heart Block in a Preexisting LBBB |
title_short | Iatrogenic Transient Complete Heart Block in a Preexisting LBBB |
title_sort | iatrogenic transient complete heart block in a preexisting lbbb |
url | http://dx.doi.org/10.1155/2016/9531210 |
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