Document Detail


Differential diagnosis of tachycardia with a typical left bundle branch block morphology.
MedLine Citation:
PMID:  21666813     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The evaluation of wide QRS complex tachycardias (WCT) remains a common dilemma for clinicians. Numerous algorithms exist to aid in arriving at the correct diagnosis. Unfortunately, these algorithms are difficult to remember, and overreliance on them may prevent cardiologists from understanding the mechanisms underlying these arrhythmias. One distinct subcategory of WCTs are those that present with a "typical" or "classic" left bundle branch block pattern. These tachycardias may be supraventricular or ventricular in origin and arise from functional or fixed aberrancy, bystander or participating atriofascicular pre-excitation, and bundle branch reentry. This review will describe these arrhythmias, illustrate their mechanisms, and discuss their clinical features and treatment strategies.
Authors:
Jeffrey S Neiger; Richard G Trohman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of cardiology     Volume:  3     ISSN:  1949-8462     ISO Abbreviation:  World J Cardiol     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-06-13     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101537090     Medline TA:  World J Cardiol     Country:  China    
Other Details:
Languages:  eng     Pagination:  127-34     Citation Subset:  -    
Affiliation:
Jeffrey S Neiger, Richard G Trohman, Department of Medicine, Section of Cardiology, Clinical Cardiac Electrophysiology Service, Rush University Medical Center, Chicago, IL 60612, United States.
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