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European Heart Journal 1981 2(2):117-122;
Copyright © 1981 by the European Society of Cardiology.
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© 1981, by The European Society Of Cardiology

Left anterior fascicular block secondary to coronary artery spasm

S. LEVY, E. BOUVIER, X. CHANUDET, P. BESSE, J. CLEMENTY and H. BRICAUD

University of Bordeaux, Ho{diaeresis}pital Cardiologique du Haut-Leèveè;que, Bordequx-pessac France

Received 25 April 1980; revised 9 September 1980; .

Requests for reprints to: Samuel Leèvy. MD. Professeur Agreègeè University of Marseille, Centre Cardiovasculaire Jules Cantini, 13009 Marseille, France.

Abstract

Spasm of the left anterior descending coronary artery occurred during cardiac calheterization in a 52 year old patient with a history of syncope and a chest pain syndrome. The main feature of coronary spasm was left axis deviation consistent with left anterior fascicular block. Electrical axis reverted to normality after sublingual nitroglycerin. Coronary angiography was repeated and showed a normal coronary artery tree. This report documents axis shift as a feature of coronary spasm and supports the concept ofischemic left anterior hemiblock.

Key Words: Hemiblock • left axis deviation • fascicular block • coronary artery spasm.


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