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논문분류	춘계학술대회 초록집
제목	Complete Atrioventricular Block During Hemodialysis Catheter Insertion in a Patient with Pre-existing Left Bundle Branch Block
저자	Joon Hyuk Seo, Seok Hui Kang, Su Jung Lee, Mun Ju Hwang, Eun Woo Choi,Kyu Hyang Cho, Kyung Woo Yoon, Jun Young Do, Jong Won Park
출판정보	2014; 2014(1):
키워드	혈액투석, 완전방실차단, 좌각차단
초록	Heart block and arrhythmia are complications of catheterization. Injury to the conducting system of the heart induces the right bundle branch block (RBBB). We report a patient with left bundle branch block (LBBB) who developed Complete artioventricular block (AVB) during hemodialysis catheter insertion. A 73-yr-old male was admitted with dyspnea. He had a history of chronic kidney disease, diabetes mellitus, dilated cardiomyopathy, and hypertension. Chest X-ray showed pulmonary congestion and the serum creatinine was 7.17 mg/dL. At admission, the electrocardiogram showed a newly developed LBBB. Emergency coronary angiography showed no significant coronary artery disease. Use of a tunneled cuffed hemodialysis catheter of the right internal jugular vein was planned. Soon after the guide wire was passed, the ECG changed LBBB to AVB. However, his blood pressure was 130/70 mmHg with a pulse rate of 37 beats/min. He did not complain dyspnea or chest discomfort. AVB was recovered with conservative management.
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