Sudden Intraventricular Conduction System Defect Prior to Urgent Coronary Artery Revascularization

Amer Harky, Mohamad Bashir, Martin Lees and Neil Roberts

Department of Cardiothoracic Surgery, Barts Heart Centre, UK
Department of Perioperative Medicine, Barts Heart Centre, UK

^*Correspondance to: Mohamad Bashir 

 PDF  Full Text DOI: 10.25107/2474-1647.1347

Abstract

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.

Keywords

Conduction defect; Sick-sinus syndrome; Coronary revascularization

Cite the article

Harky A, Bashir M, Lees M, Roberts N. Sudden Intraventricular Conduction System Defect Prior to Urgent Coronary Artery Revascularization. Clin Surg. 2017; 2: 1347.