ABSTRACT
Objective: To determine the frequency of intraventricular dyssynchrony among patients with left bundle branch block
Methods: The study was conducted at Hayatabad Medical Complex, Peshawar, from January, 2017 to July, 2017. All patients aged 18 years and above with Left Bundle Branch Block [LBBB] on ECG with or without heart failure were included in the study. Patients with valvular heart disease, predominant diastolic heart failure, acute coronary syndromes or coronary revascularization in last three months and atrial fibrillation were excluded. Tissue Doppler Imaging [TDI] parameters were measured from 2-D images in apical 4-chamber and 2chamber views. Consecutive non-probability sampling technique was used for sample collection
Results: Our study included 159 patients. Mean age was 52 years with SD +/- 2.74. Ninety-nine [62%] patients were male and 60 [38%] patients were female. One hundred and three [65%] patients had heart failure while 56 [35%] patients didn't have heart failure. More over in our study 124 [78%] patients had Intraventricular dyssynchrony while 35[22%] patients didn't have Intraventricular dyssynchrony
Conclusion: The incidence of Intraventricular dyssynchrony is high among patients with heart failure and left bundle branch block
ABSTRACT
Post infarction ventricular septal defect carries high mortality and the management of these patients is challenging both for cardiologist and cardiovascular surgeon, because of the patient hemodynamic instability and tissue friability which make the intervention difficult. We report one of our patient who had anterior M I followed by apical ventricular septal defect with cardiogenic shock .The patient was subjected to PCI and the defect was closed successfully with ASD closure device. The patient was discharge successfully from hospital