Casos

Symptomatic elderly man (syncope) with critical coronary obstruction on LAD

Dr. Raimundo Barbosa Barros
Dr. Raimundo Barbosa Barros
Brazil

Case presentation

Patient of 67 years carrying Coronary Artery Disease (CAD), with the antecedent of stent implantation on the LAD artery 6 months ago.
The first ECG was performed on admission at 10.14.02 08: 21′ AM.
The second one was recorded shortly after the syncopal episode occurred approximately two hours after admission (02.10.14 10: 38′).

The Holter monitoring 24h revealed an intermittent LBBB pattern. Later we will send the Holter study and the VCG.
The electrophysiological study (EPS) revealed HV interval prolongation = 84 ms (normal 55 ms). Concomitantly, the AH interval also was prolonged.


Apresentaçao do caso

Paciente de 67 anos portador de Doença Arterial Coronariana (DAC), o qual implantara stent para descendente anterior há 6 meses.
O ECG 1 realizado na admissão (02-10-14 08:21 ́ am).
O ECG 2 foi registrado logo após o episódio sincopal ocorrido aproximadamente duas horas após (02-10-14 10:38 ́).

O estudo de holter/24h revelou em forma intermitente um padrão de BCRE. Mais tarde enviaremos o traçado holter e o VCG.
O estudo eletrofisiológico revelou significativo prolongamento do intervalo HV = 84 ms (normal 55 ms). Concomitantemente o intervalo AH também mostrou-se prolongado.

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Auspicios Institucionales
  • Sociedad Argentina de Cardiología
  • Federación Argentina de Cardiología
  • SIAC
  • SADEC
  • Asociación Argentina de Cardiología
  • Latin American Heart Rhythm Society
  • Fundación Barceló - Facultad de Medicina