همراهي بلوك كامل شاخه چپ با اختلال عملكرد سيستوليگ بطن چپ در بيماران بستري در بخش قلب بيمارستان امام خميني (ره ) ساري از ارديبهشت 79 تا ارديبهشت 81

Assciation between complete left bundle branch block in electrocardiogram with left ventricular systolic dysfunction in Echocardiography in patients admitted to the cardiology ward of Imam Khomeini Hospital, 2002

Background and purpose: The most usual way for diagnosing left ventricular systolic dysfunction (LVSD) is Echocardiography. We designed this propective study for evaluating the rate of association of left bundle branch block (LBBB) with LVSD(EF< 50%). Materials and methods: Out of 2522 Patients admitted to the cardiology ward in Tmam Khomeini Hospital, 215 Patients had LBBB, of whom 200 patients had been evaluated by Echocardiography. LBBB was diagnosed by the ECG criteria; QRS > 0.12 sec, the existence of notch or slurring in QRS with a primary R wave in 1, aVL and the left pericardial lead and the changing of ST and T segment in a way often against the primary QRS. Echocardiography was performed by cardiologist who was unaware of this study with a wing med 750 echocardiogram. Results: Out of 200 patients with LBBB only 10% had EF> 50% and 90% of patients with LBBB in ECG showed LVSD in Echocardiography. EF was< 30% in 25.5%, 30-40% in 33% and between 40-50% in 31.5% of the patients. Conclusion: The presence of LBBB in ECG is associated frequently with LVSD in Echocardiography.