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Exercise induced left bundle branch block in isotopic exercise test. Findings and prognostic value
M V Gomez1, B C Lorente Castro2, P Jané2
1Medicina Nuclear, Hospital Ramón y Cajal, Madrid, España.
Revista Espanola De Medicina Nuclear E Imagen Molecular
|April 23, 2018
Summary
Exercise-induced left bundle branch block (EI-LBBB) is rare and occurs more often in women. This study found EI-LBBB did not increase the risk of major cardiovascular events in patients undergoing exercise stress tests.
Area of Science:
- Cardiology
- Nuclear Cardiology
- Diagnostic Imaging
Background:
- Exercise-induced left bundle branch block (EI-LBBB) is an uncommon finding during cardiac stress testing.
- Its clinical significance and prognostic implications remain largely unknown.
Purpose of the Study:
- To investigate the scintigraphic characteristics of EI-LBBB.
- To evaluate the prognostic value of EI-LBBB in patients undergoing exercise stress testing.
Main Methods:
- Retrospective review of 1,885 patients undergoing GATED-SPECT ergometry.
- Analysis of 7 patients who exhibited EI-LBBB during exercise testing.
- Coronary angiography and long-term cardiovascular event monitoring (30±8 months).
Main Results:
- EI-LBBB prevalence was 0.37%, predominantly observed in women (6/7).
- Myocardial function and perfusion were normal in 3 patients; perfusion defects were present in 4.
- No coronary artery disease was detected in patients with perfusion defects.
Conclusions:
- EI-LBBB is a rare finding, more prevalent in women.
- In this cohort, EI-LBBB was not associated with coronary artery disease or an increased risk of major cardiovascular events.
- Non-ischaemic structural heart disease was noted in 2 patients.
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