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Ventricular standstill complicating cardiac catheterization.

N Twidale, A Tonkin

    Pacing and Clinical Electrophysiology : PACE
    |January 1, 1987
    PubMed
    Summary
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    A patient experienced repeated ventricular standstill during left heart catheterization. This was likely caused by catheter trauma to the His bundle connections, despite a normal electrophysiology study.

    Area of Science:

    • Cardiology
    • Electrophysiology
    • Medical Device Complications

    Background:

    • Right bundle branch block with left anterior fascicular block is a known conduction abnormality.
    • Left heart catheterization is a common diagnostic procedure.

    Observation:

    • A patient presented with recurrent episodes of ventricular standstill during a left heart catheterization procedure.
    • The patient's baseline electrocardiogram showed right bundle branch block and left anterior fascicular block.

    Findings:

    • Electrophysiology study results were within normal limits.
    • The recurrent ventricular standstill episodes were attributed to trauma to the His bundle connections by the catheter.

    Implications:

    • This case highlights a rare but serious complication of left heart catheterization.

    Related Experiment Videos

  • Awareness of potential catheter-induced His bundle trauma is crucial for procedural safety.
  • Further research may be needed to understand and prevent such events.