A DESCRIPTIVE STUDY TO CORRELATE LEFT VENTRICULAR FUNCTIONS AND AETIOLOGY IN LEFT BUNDLE BRANCH BLOCK PATIENTS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 83
Abstract
BACKGROUND Left bundle branch block (LBBB) is a common ECG finding. Common causes of LBBB are coronary artery disease (CAD), dilated cardiomyopathy (DCM) and hypertension. The objective of this study was to correlate left ventricular function and aetiology in LBBB patients coming to our rural hospital. MATERIALS AND METHODS This is a descriptive study. All patients with complete LBBB who attended Rajarajeshwari Medical College and Hospital (Cardiology Unit) from January 5, 2015 to January 20, 2017 were included. The detail history was taken and examination was done. Echocardiography was done in all patients. RESULTS 188 patients with LBBB were studied. Mean age was 63 yrs. 99 were male (52.65%) and 89 were female (47.34%). 76 patients presented with dyspnoea (40.40%) and 60 with chest pain (31.91%); 36 patients were asymptomatic (19.14%); 94 were hypertensive (50%) and 18 were diabetic (9.5%). Left ventricular hypertrophy (LVH) was present in 64 patients (34%) with 47 having diastolic and 12 systolic dysfunction; 47 patients had DCM (25%) and 16 patients had evidence of myocardial infarction (8.5%); 28 patients had normal echocardiography (14.89%); 81 patients had systolic dysfunction (43%). CONCLUSION Hypertension was a major risk factor for LBBB. Commonest presentation in patients with LBBB was dyspnoea followed by chest pain. LVH was the commonest echocardiographic finding followed by global hyperkinesias and regional wall motion abnormality. More than 50% patients had left ventricular systolic dysfunction.
Authors and Affiliations
Yogesh Kothari, Rajiv Girdhar, Ram Anil Raj, Prasanth Rai, Narayana Raju, Kumar Kenchappa, Tarif Singh, Sagar P Kabadi
Keywords
Related Articles
- EP ID EP276140
- DOI 10.14260/jemds/2017/1259
- Views 73
- Downloads 0
INFLUENCE OF FAMILY BURDEN AND SOCIAL SUPPORT ON FUNCTIONAL DISABILITY IN PERSONS WITH SCHIZOPHRENIA
BACKGROUND Schizophrenia causes considerable functional disability. Families are the main support system and primary care givers for persons with schizophrenia in India. Family burden and social support are the main conc...
ROLE OF CHLOSITE GEL DELIVERY IN THE MANAGEMENT OF AGGRESSIVE PERIODONTITIS ATTENDING THE OUTPATIENT DEPARTMENT OF DENTISTRY, VARUN ARJUN MEDICAL HOSPITAL, BANTHRA, SHAHJAHANPUR (U. P.)- A PILOT STUDY
BACKGROUND Periodontitis is an immune-inflammatory disease of the tissues surrounding the teeth. Various treatment modalities like mechanical debridement and use of antimicrobials have been followed in such conditions. I...
VISUAL SCREENING WITH ACETIC ACID AND LUGOL’S IODINE- A BETTER OPTION FOR EARLY DETECTION OF CERVICAL INTRAEPITHELIAL NEOPLASIA
BACKGROUND Visual inspection based screening tests such as visual inspection with dilute acetic acid 4% (VIA) and with Lugol’s iodine- VILI have been proposed as alternatives to cytology in mass screening program. To dat...
RENAL COMPLICATIONS IN HIV PATIENTS IN AND AROUND MADURAI- A CROSS-SECTIONAL STUDY
BACKGROUND HIV is the modern pandemic spreading throughout the world in a rampant manner. The renal manifestations of HIV infection occurs commonly during all stages of infection [Medical management of AIDS- Merle A Sand...
CLINICOPATHOLOGICAL CORRELATION OF ASCITES WITH SPECIAL REFERENCE TO SERUM ASCITIC FLUID ALBUMIN CONCENTRATION GRADIENT (SAAG)- A STUDY IN A TERTIARY CARE CENTRE OF GAJRAULA, UTTAR PRADESH
BACKGROUND Ascites is defined as collection of excessive fluid in peritoneal cavity. Normally there is little fluid between the visceral and parietal layers of peritoneum. A slight increase in normal volume of peritoneal...