Author/Authors :
Mishra, Seema All India Institute of Medical Sciences - Institute Rotary Cancer Hospital (IRCH) - Unit of Anesthesiology, INDIA , Nasa, Prashant All India Institute of Medical Sciences - Institute Rotary Cancer Hospital (IRCH) - Unit of Anesthesiology, INDIA , Goyal, Gaurav Nirwani All India Institute of Medical Sciences - Institute Rotary Cancer Hospital (IRCH) - Unit of Anesthesiology, INDIA , Khurana, Himanshu All India Institute of Medical Sciences - Institute Rotary Cancer Hospital (IRCH) - Unit of Anesthesiology, INDIA , Gupta, Deepak All India Institute of Medical Sciences - Institute Rotary Cancer Hospital (IRCH) - Unit of Anesthesiology, INDIA , Bhatnagar, Sushma All India Institute of Medical Sciences - Institute Rotary Cancer Hospital (IRCH) - Unit of Anesthesiology, INDIA
Abstract :
A chronic hypertensive patient with electrocardiogram (ECG) showing left bundle branch block (LBBB) was given general anesthesia for right modified radical mastectomy. Her ECG reverted to normal sinus rhythm intermittently during peri-operative period. This intermittent atedependent LBBB is a rare entity. Though hypertension is one significant co-morbid condition, the risk evalution of LBBB during anesthesia only on an ECG finding, is not justifiable. Rather atient should be investigated further for any cardiac risk.
