[Diagnosis of myocardial infarction complicated by complete block of the left branch of His bundle as shown by computed electrocardiotopography].
OBJECTIVE
To assess efficacy of computed electrocardiotopography (CECT) in diagnosis of myocardial infarction (MI) complicated by a complete block of His' bundle left branch (HBLB).


METHODS
Twenty two patients with a complete block of HBLB have undergone CECT (hardware Rhythm-M, software "Rhythm" and "Heart").


RESULTS
Five patients had no scars. The rest 17 patients had MI. The diagnosis of MI was definite by ECG in 6 (35%) patients. In 11 (65%) patients MI diagnosis by ECG was doubtful. Only CECT detected typical for MI changes in the QRS changes.


CONCLUSIONS
CECT can significantly detect scars in the myocardium in a complete block of HBLB and improves diagnostic potential of ECG.
Udovichenko
I A
IA
Sukhanova
G I
GI
D002036:Bundle of His / Q000503:physiopathology*; D002037:Bundle-Branch Block / Q000150:complications / Q000503:physiopathology*; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D009206:Myocardium / Q000473:pathology; D009336:Necrosis