Purpose Of Study: Left bundle branch (LBBB) is common ECG finding. Common causes of LBBB are coronary artery disease (CAD), hypertension and dilated cardiomyopathy (DCM). Purpose of the study was to find out the etiology and left ventricular function in patients coming to a territory care hospital.
Material And Methods: All consecutive patients coming to our hospital as indoor or outdoor patients with ECG suggestive of LBBB were studied. The detail history and examination was done. Echocardiography was done in all patients.
Results: 132 patients with LBBB were studied. Mean age was 61.65±13.02 yrs. 70 were male (53.03%) and 62 were female (44.97%). 40 patients presented with dyspnea ((30.3%) and 34 with chest pain ((24.24%). 23 patients were asymptomatic (17.4%). 63 were hypertensive (47.7%) and 6 were diabetic (4.5%). Left ventricular hypertrophy (LVH) was present in 42 patients (31.8%), with 33 having diastolic and 9 systolic dysfunction. 33 patients had DCM (25%) and 31 patients had evidence of myocardial infarction (23.48%). 20 patients had normal echocardiography (15.15%). 75 patients had systolic dysfunction (56.8%).
Conclusions: Commonest presentation in patients wih LBBB was dyspnea followed by chest pain. Majority had hypertension. LVH was the commonest echocardiographic finding followed by global hypokinesia and regional wall motion abnormality. More than 50% patients had left ventricular systolic dysfunction.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Real-Time Pressure-Volume Loop Assessment of Left Ventricular Performance to Evaluate Suitability for Repair in Congenitally Corrected Transposition of the Great Arteries.
Circ Heart Fail
December 2024
Division of Pediatric Cardiology, Lucile Packard Children's Hospital, Stanford University School of Medicine, CA. (K.-J.L., D.H.).
Haemodynamic and hyperaemic effects of adenosine in patients with atrial fibrillation undergoing quantitative myocardial perfusion cardiovascular magnetic resonance.
Eur Heart J Imaging Methods Pract
July 2024
Department of Cardiovascular Sciences, University of Leicester and the National Institute for Health Research Leicester Biomedical Research Centre, Glenfield Hospital, Leicester LE3 9QP, UK.
Aims: Patients with atrial fibrillation (AF) are thought to have an attenuated response to adenosine during vasodilator stress testing. We sought to investigate the haemodynamic and hyperaemic effects of adenosine in patients with AF undergoing adenosine-stress cardiovascular magnetic resonance (CMR) assessment.
Methods And Results: We retrospectively examined 318 patients referred for clinical adenosine-stress CMR (AF = 158, sinus rhythm [SR] = 160).
Association of triglyceride glucose-body mass index and left ventricular hypertrophy in patients with IgA nephropathy: a retrospective study.
Eur J Med Res
December 2024
Department of Nephrology, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.
Introduction: IgA nephropathy (IgAN) is one of the most prevalent forms of glomerulonephritis worldwide, particularly affecting 40-50% of the East Asian population. Cardiovascular mortality represents a leading cause of death in patients with IgAN. Left ventricular hypertrophy (LVH) serves as a predictor of heart failure and cardiovascular mortality.
View Article and Find Full Text PDFExercise and cardiac rehabilitation after LVAD implantation.
Heart Fail Rev
December 2024
Division of Cardiology, Tufts Medical Center, Boston, MA, USA.
Left ventricular assist devices (LVAD) have improved mortality and quality of life for patients with end-stage heart failure by providing an alternative to cardiac transplant or as a bridge to transplantation. The improvement in functional capacity however is minimal to modest depending on the right ventricular function, optimal hemodynamics on LVAD therapy, and comorbidities. There is improvement in submaximal exercise capacity but improvement in peak aerobic capacity is limited.
View Article and Find Full Text PDFOlympic distance duathlon and cardiac performance in highly-trained triathletes.
Physiol Rep
December 2024
Department of Cardiology, St George's University Hospitals NHS Foundation Trust, London, UK.
The effects of triathlon exercise on cardiac function are well documented. While Olympic triathlon (swim-bike-run) remains the standard format, increasing concerns about water quality in natural waterways present ongoing challenges for open-water swimming events, highlighting the potential need to consider alternative formats such as duathlon (run-bike-run) in some circumstances. An additional run may increase the overall metabolic and cardiovascular demand compared with the swim in triathlon, leading to reduced future performance.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!