Transient left anterior hemiblock during angina pectoris

Coronarographic aspects and clinical significance

S. Levy, R. Gerard, Agustin Castellanos, A. R. Gharhamani, L. S. Sommer

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The data of 6 patients in whom a left anterior hemiblock appeared in the course of angina pectoris attacks were reviewed. All 6 patients were found to fulfill the criteria for unstable angina. 1 patient who presented the features of Prinzmetal variant angina was included in this group. Coronary arteriography showed significant coronary artery disease in all patients involving 3 vessels in 2 patients, 2 vessels in 1 and 1 vessel in 3. A severe lesion (70-100%) of the left anterior descending artery in the vicinity of the first perforator was demonstrated in every case. The 2 patients with 3-vessel disease were not operable and died 4 and 5 days after the hemodynamic study. These deaths were caused by myocardial infarction with cardiogenic shock in one case and intractable ventricular arrhythmias in the other case. 4 patients were operable and underwent aortocoronary saphenous bypass surgery. There were 2 operative deaths. The 2 survivors are asymptomatic 7 and 16 mth after surgery. This study suggests that transient left anterior hemiblock during an attack of angina pectoris may be a feature of impending myocardial infarction and may be indicative of a severe obstruction of the left anterior descending coronary artery.

Original languageEnglish (US)
Pages (from-to)215-225
Number of pages11
JournalEuropean Journal of Cardiology
Volume9
Issue number3
StatePublished - 1979
Externally publishedYes

Fingerprint

Angina Pectoris
Myocardial Infarction
Cardiogenic Shock
Unstable Angina
Coronary Artery Bypass
Survivors
Cardiac Arrhythmias
Coronary Artery Disease
Coronary Vessels
Angiography
Arteries
Hemodynamics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Levy, S., Gerard, R., Castellanos, A., Gharhamani, A. R., & Sommer, L. S. (1979). Transient left anterior hemiblock during angina pectoris: Coronarographic aspects and clinical significance. European Journal of Cardiology, 9(3), 215-225.

Transient left anterior hemiblock during angina pectoris : Coronarographic aspects and clinical significance. / Levy, S.; Gerard, R.; Castellanos, Agustin; Gharhamani, A. R.; Sommer, L. S.

In: European Journal of Cardiology, Vol. 9, No. 3, 1979, p. 215-225.

Research output: Contribution to journalArticle

Levy, S, Gerard, R, Castellanos, A, Gharhamani, AR & Sommer, LS 1979, 'Transient left anterior hemiblock during angina pectoris: Coronarographic aspects and clinical significance', European Journal of Cardiology, vol. 9, no. 3, pp. 215-225.
Levy, S. ; Gerard, R. ; Castellanos, Agustin ; Gharhamani, A. R. ; Sommer, L. S. / Transient left anterior hemiblock during angina pectoris : Coronarographic aspects and clinical significance. In: European Journal of Cardiology. 1979 ; Vol. 9, No. 3. pp. 215-225.
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