Document Detail


Exercise-induced left bundle branch block: a case report of false positive MIBI imaging and review of the literature.
MedLine Citation:
PMID:  9179091     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Exercise-induced left bundle branch block is a relatively rare finding during exercise tolerance testing. A 36-year-old female with intermittent exercise-induced left bundle branch block, a MIBI study suggesting anterior ischemia and normal coronary arteries is reported. A review of the English and French language literature published from January 1985 to January 1996 is presented. Exercise-induced left bundle branch block has been reported in association with and without structural heart disease. Pooled mortality in the group with structural heart disease was 2.7% per year, and mortality was 0.17% per year when no structural heart disease was identified. Exercise-induced left bundle branch block has been reported to resolve with therapy. Noninvasive testing appears to have limited ability to detect or exclude coronary artery disease in this group. If a definitive cardiac diagnosis is required, strong consideration should be given to coronary angiography.
Authors:
B Munt; V F Huckell; J Boone
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  13     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-06-19     Completed Date:  1997-06-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  517-21     Citation Subset:  IM    
Affiliation:
University of British Columbia, Vancouver Hospital and Health Science Centre, bradmunt@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Bundle-Branch Block / etiology*
Contrast Media
False Positive Reactions
Female
Humans
Physical Exertion*
Technetium Tc 99m Sestamibi* / diagnostic use
Chemical
Reg. No./Substance:
0/Contrast Media; 109581-73-9/Technetium Tc 99m Sestamibi

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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