Amer Harky1, Mohamad Bashir1*, Martin Lees2 and Neil Roberts1
1Department of Cardiothoracic Surgery, Barts Heart Centre, UK
2Department of Perioperative Medicine, Barts Heart Centre, UK
Intraventricular conduction abnormalities have been thoroughly described in the setting of post cardiac surgery in particular after valvular surgery. It’s also widely known that several anaesthetic factors are known to cause autonomic disturbances resulting in unmasking of a sinus node dysfunction, significant bradycardia, and cardiovascular collapse during the intraoperative period. However, little is known on asymptomatic episodes in particular prior to CABG. We report a rare occurrence of intraventricular conduction defect that presented in an asymptomatic patient following NSTEMI and prior to urgent coronary artery revascularization. We aim to highlight the measures that were taken to manage this.
Conduction defect; Sick-sinus syndrome; Coronary revascularization
Harky A, Bashir M, Lees M, Roberts N. Sudden Intraventricular Conduction System Defect Prior to Urgent Coronary Artery Revascularization. Clin Surg. 2017; 2: 1347.