0
Articles |

The Significance of Bilateral Bundle Branch Block in the Preoperative Patient : A Retrospective Electrocardiographic and Clinical Study in 30 Patients FREE TO VIEW

Gerald R. Berg; Morris N. Kotler
Author and Funding Information

Electrocardiogram Laboratory and Department of Medicine, Albert Einstein College of Medicine, Bronx, New York


1971, by the American College of Chest Physicians


Chest. 1971;59(1):62-67. doi:10.1378/chest.59.1.62
Text Size: A A A
Published online

Abstract

Thirty patients with electrocardiographic evidence of bilateral bundle branch block (BBBB) underwent 36 surgical procedures. Despite an 83 percent incidence of significant cardiac disease, the overall mortality was 10 percent. In no case was death attributable to complete heart block, though one patient was found at postmortem to have suffered acute myocardial infarction. Patients with previous syncopal episodes showed no increased incidence of arrhythmias and no patient had a documented Stokes-Adams attack. It would appear that the routine use of temporary cardiac pacemakers is not justified in the preoperative patient with presumed BBBB. However, since the factors that ultimately cause complete heart block are not known in patients with BBBB, constant cardiac monitoring is mandatory in the intraoperative and immediate postoperative period.


Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543