Anesth Pain Med.  2014 Apr;9(2):119-122.

Transient left bundle branch block associated with hypoxia during monitored anesthesia care: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. sunny5433@naver.com
  • 2Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Abstract

Transient left bundle branch block (LBBB) is uncommon during anesthesia. It is mainly related to the changes in blood pressure or heart rate. Its occurrence can be confused with acute myocardial ischemia or ventricular tachycardia, therefore differential diagnosis is important. We report a case of transient LBBB which developed with hypoxia during monitored anesthesia care. LBBB is reversed to sinus rhythm after recovery from hypoxia.

Keyword

Conscious sedation; Hypoxia; Left bundle branch block

MeSH Terms

Anesthesia*
Anoxia*
Blood Pressure
Bundle-Branch Block*
Conscious Sedation
Diagnosis, Differential
Heart Rate
Myocardial Ischemia
Tachycardia, Ventricular
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