Effects of Left Bundle-Branch Block on Cardiac Structure, Function, Perfusion, and Perfusion Reserve

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Significance of perfusion defects on dipyridamole thallium cardiac SPECT in patients with left bundle branch block.

BACKGROUND Left Bundle Branch Block (LBBB) is a known cause of false positive results in myocardial perfusion studies. We aimed at investigation of correlation between degree of severity of perfusion defect on cardiac Single Photon Emission Computed Tomography (SPECT) and presence of coronary artery disease on angiography in patients with LBBB. STUDY DESIGN This was an analytical study and wa...

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Effects of left bundle-branch block on cardiac structure, function, perfusion, and perfusion reserve: implications for myocardial contrast echocardiography versus radionuclide perfusion imaging for the detection of coronary artery disease.

BACKGROUND We aimed to investigate the cardiac effects of left bundle-branch block (LBBB) using myocardial contrast echocardiography (MCE) to ascertain the value of MCE for detecting coronary artery disease (CAD) and to uncover the mechanism that affects the accuracy of single-photon emission computed tomography (SPECT) in these patients. METHODS AND RESULTS Sixty-three symptomatic LBBB patie...

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usefulness of dipyridamole myocardial perfusion spect in patients with left bundle branch block

background: diagnosis of coronary artery disease (cad) in patients with left bundle branch block (lbbb) is considered as a challenge in cardiology due to the low accuracy of noninvasive methods such as basal and stress electrocardiography (ecg). this diagnostic challenge can be reduced but not eliminated using dipyridamole as a stress method instead of exercise. the aim of this study was to ass...

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Rate dependent left bundle branch block: does it have any effect on the myocardial perfusion SPECT.

Dear Sir, the recent issue of Nuclear Medicine Review published an interesting study by Gholamrezanezhad et al. regarding rate dependent left bundle branch block and its effect on myocardial perfusion SPECT [1]. They reported four cases with rate dependent LBBB during exercise stress for myocardial perfusion imaging. Myocardial perfusion SPECT imaging showed no evidence of reversible perfusion ...

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Left Bundle Branch Block

Coronary angiography, cine left ventriculography, and the cardiovascular hemodynamics of 24 patients with left bundle branch block were studied. Seven patients were found to have significant coronary artery disease, always severe. Five had cardiomyopathy and seven had valvular disease. Only those with coronary artery disease or cardiomyopathy had abnormal left ventricular contraction patterns. ...

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ژورنال

عنوان ژورنال: Circulation

سال: 2008

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.107.726711