A CASE OF DILATED CARDIOMYOPATHY MANIFESTED BY EXERCISE-INDUCED LEFT-BUNDLE-BRANCH BLOCK

被引:4
作者
AOKI, T [1 ]
MOTOYASU, M [1 ]
SIMIZU, Y [1 ]
ONO, N [1 ]
UNNO, M [1 ]
NISHIKAWA, H [1 ]
KAKUTA, Y [1 ]
KONISHI, T [1 ]
NAKANO, T [1 ]
机构
[1] MIE UNIV,SCH MED,DEPT INTERNAL MED 1,TSU,MIE 514,JAPAN
来源
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION | 1993年 / 57卷 / 06期
关键词
DILATED CARDIOMYOPATHY; EXERCISE-INDUCED; LEFT BUNDLE BRANCH BLOCK;
D O I
10.1253/jcj.57.573
中图分类号
N09 [自然科学史]; B [哲学、宗教];
学科分类号
01 ; 0101 ; 010108 ; 060207 ; 060305 ; 0712 ;
摘要
We report an extremely rare case of dilated cardiomyopathy manifested by exercise-induced left bundle branch block. A 63-year-old female came to our hospital because supraventricular arrhythmia had been detected at a check-up. A treatmill exercise test induced left bundle branch block. However, chest X-ray and echocardiography revealed no abnormal finding. Two years later, the patient experienced exertional dyspnea. A chest X-ray examination showed cardiomegaly, and echocardiography showed a moderate impairment of left ventricular function with left ventricular dilatation. The diagnosis of dilated cardiomyopathy was made by left ventricular myocardial biopsy. No previous cases have initially shown exercise-induced left bundle branch block which was followed by left ventricular dysfunction due to dilated cardiomyopathy. Careful long-term observation of the clinical course is necessary in patients with exercise-induced left bundle branch block which shows no significant underlying disease.
引用
收藏
页码:573 / 577
页数:5
相关论文
共 6 条
[1]   ISCHEMIA-ASSOCIATED INTRAVENTRICULAR-CONDUCTION DISTURBANCES DURING EXERCISE TESTING AS A PREDICTOR OF PROXIMAL LEFT ANTERIOR DESCENDING CORONARY-ARTERY DISEASE [J].
BORAN, KJ ;
OLIVEROS, RA ;
BOUCHER, CA ;
BECKMANN, CH ;
SEAWORTH, JF .
AMERICAN JOURNAL OF CARDIOLOGY, 1983, 51 (07) :1098-1102
[2]   INFLUENCE OF UNDERLYING CORONARY-ARTERY DISEASE ON THE NATURAL-HISTORY AND PROGNOSIS OF EXERCISE-INDUCED LEFT-BUNDLE BRANCH-BLOCK [J].
HEINSIMER, JA ;
IRWIN, JM ;
BASNIGHT, LL .
AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (13) :1065-1067
[3]   NEWLY ACQUIRED LEFT-BUNDLE-BRANCH BLOCK - FRAMINGHAM-STUDY [J].
SCHNEIDER, JF ;
THOMAS, HE ;
KREGER, BE ;
MCNAMARA, PM ;
KANNEL, WB .
ANNALS OF INTERNAL MEDICINE, 1979, 90 (03) :303-310
[4]   EXERCISE-INDUCED LEFT-BUNDLE BRANCH-BLOCK AND ITS RELATION TO CORONARY-ARTERY DISEASE [J].
VASEY, C ;
ODONNELL, J ;
MORRIS, S ;
MCHENRY, P .
AMERICAN JOURNAL OF CARDIOLOGY, 1985, 56 (13) :892-895
[5]   CHEST PAIN AND RATE-DEPENDENT LEFT-BUNDLE BRANCH-BLOCK IN PATIENTS WITH NORMAL CORONARY ARTERIOGRAMS [J].
VIRTANEN, KS ;
HEIKKILA, J ;
KALA, R ;
SILTANEN, P .
CHEST, 1982, 81 (03) :326-331
[6]   EXERCISE-INDUCED BUNDLE-BRANCH BLOCK [J].
WAYNE, VS ;
BISHOP, RL ;
COOK, L ;
SPODICK, DH .
AMERICAN JOURNAL OF CARDIOLOGY, 1983, 52 (03) :283-286