Postoperative rate induced left bundle branch block after craniotomy

  • Basanth Kumar Rayani Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research centre, Hyderabad- 500034 (India)
  • Harini Narayanan Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research centre, Hyderabad- 500034 (India)
  • Mohammad Salman Saifuddin Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research centre, Hyderabad- 500034 (India)
  • Abhijit S. Nair Department of Anaesthesia and Pain Medicine, Basavatarakam Indo-American Cancer Hospital and Research centre, Hyderabad- 500034 (India)
Keywords: Bundle-Branch Block, Coronary Artery, Disease, Electrocardiography, Postoperative Period

Abstract

Rate induced left bundle branch block (LBBB) is a rare peri-operative phenomenon. We encountered rate related LBBB in a 72 year old patient who had undergone a craniotomy.

Acute coronary event was ruled out by doing serial troponin-I levels and absence of new onset regional wall motion abnormalities on echocardiogram. The electrocardiographic changes reverted to normal after controlling the rate with β blockers. Further cardiac evaluation was advised but the patient and family opted for a conservative medical management considering his age and co-morbidities.

Key words: Bundle-Branch Block, Coronary Artery Disease, Electrocardiography, Postoperative Period

Citation: Rayani BK, Narayanan H, Saifuddin MS, Nair AS. Postoperative rate induced left bundle branch block after craniotomy. Anaesth Pain & Intensive Care 2016;20(3):334-337

Received: 28 April 2016; Reviewed: 30 April & 23 August 2016; Accepted: 15 September 2016

Published
01-21-2019
How to Cite
Rayani, B. K., Narayanan, H., Saifuddin, M. S., & Nair, A. S. (2019). Postoperative rate induced left bundle branch block after craniotomy. Anaesthesia, Pain & Intensive Care, 334-337. Retrieved from https://www.apicareonline.com/index.php/APIC/article/view/192
Issue
Vol.20 No.3(2016): July-September
Section
Case Reports