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Postoperative rate induced left bundle branch block after craniotomy

Author(s)
Basanth Kumar Rayani Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research centre, Hyderabad- 500034 (India)
Harini Narayanan Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research centre, Hyderabad- 500034 (India)a
Mohammad Salman Saifuddin Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research centre, Hyderabad- 500034 (India)
Abhijit S. Nair Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research centre, Hyderabad- 500034 (India)
Abstract
Rate induced left bundle branch block (LBBB) is a rare peri-operative phenomenon. We encountered rate related LBBB in a 72 year old patient who had undergone a craniotomy. Acute coronary event was ruled out by doing serial troponin-I levels and absence of new onset regional wall motion abnormalities on echocardiogram. The electrocardiographic changes reverted to normal after controlling the rate with ß blockers. Further cardiac evaluation was advised but the patient and family opted for a conservative medical management considering his age and co-morbidities.
Publication Details
Page(s) 334-337
DOI 10.4330/wjc
Published Journal: Anaesthesia, Pain and Intensive Care, Volume: 20, Issue: 3, Year: 2016

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Keywords
Coronary artery disease, Electrocardiography, Postoperative Period, Bundle-Branch Block
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