[Electrocardiographic examinations after orthotopic heart transplantation].
The electrocardiographic examinations of 220 post orthotopic heart transplant patients have shown: A marked left axis deviation (LA hemiblock) was seen in 15.9% of the patients and a marked right axis deviation in 6.8%. During the postoperative observation of the progress a change of the marked axis type became visible in 14.2% of the marked left axis type of the patients. 21.8% of the patients showed a pronounced (= complete) right bundle branch block pattern (QRS-duration > or = 0.12 s), 90% of them a pronounced (= complete) bundle branch block pattern of the Wilson type. 15.9% of the patients showed a moderate (= incomplete) right bundle branch block pattern (QRS-duration > 0.1 < 0.12 s). Pronounced (= complete) or moderate (= incomplete) right bundle branch block pattern was noticed in 71.7% of the patients during the first 14 days postoperative. In 96.6% of the patients the right bundle branch block pattern remained constant. A progress course could be observed very rarely. A right ventricular dysfunction is a possible cause.
Kriehuber
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E
Abteilung für Herz-, Thorax- und Gefässchirurgie, Deutschen Herzzentrums Berlin.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000503:physiopathology*; D002036:Bundle of His / Q000503:physiopathology; D002037:Bundle-Branch Block / Q000175:diagnosis / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D016027:Heart Transplantation / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology*; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis / Q000503:physiopathology
Elektrokardiographische Untersuchungen nach orthotopen Herztransplantationen.