Intraoperative transient left bundle branch block under general anesthesia

Authors

  • Ana Pinto Carneiro Área de Anestesiologia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Rafael Pires Área de Anestesiologia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • José Luís Ferreira Área de Anestesiologia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal

DOI:

https://doi.org/10.25751/rspa.6234

Keywords:

Anesthesia, General, Bundle Branch Block, Diabetes Mellitus, Atherosclerosis, Myocardial ischemia

Abstract

Acute onset of Transient Left Bundle Branch Block during anesthesia is rare and may be related to hypertension or tachycardia. Although generally considered a benign condition its appearance may reveal an early phase of Ischemic Heart Disease or be indicative of Acute Coronary Syndrome.

We report a case of Transient Left Bundle Branch Block during perioperative period, with no association with hypertension or tachycardia in a 72 years old woman who underwent correction of multiple facial fractures in the context of urgency, under general anesthesia

We emphasize the importance of identifying probable atherosclerosis in an asymptomatic patient, which will enable further investigation and early intervention.

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Published

2014-11-25

How to Cite

Carneiro, A. P., Pires, R., & Ferreira, J. L. (2014). Intraoperative transient left bundle branch block under general anesthesia. Journal of the Portuguese Society of Anesthesiology, 23(4), 123–125. https://doi.org/10.25751/rspa.6234

Issue

Section

Case Report