Non-invasive assessment of coronary artery disease in patients with left bundle branch block

Ify Mordi; Nikolaos Tzemos

doi:10.1016/j.ijcard.2015.01.084

Non-invasive assessment of coronary artery disease in patients with left bundle branch block

Int J Cardiol. 2015 Apr 1:184:47-55. doi: 10.1016/j.ijcard.2015.01.084. Epub 2015 Jan 29.

Authors

Ify Mordi¹, Nikolaos Tzemos²

Affiliations

¹ Institute of Cardiovascular and Medical Sciences, University of Glasgow, United Kingdom.
² Institute of Cardiovascular and Medical Sciences, University of Glasgow, United Kingdom. Electronic address: [email protected].

PMID: 25697870
DOI: 10.1016/j.ijcard.2015.01.084

Abstract

There is a high prevalence of coronary artery disease (CAD) in patients with left bundle branch block (LBBB); however there are many other causes for this electrocardiographic abnormality. Non-invasive assessment of these patients remains difficult, and all commonly used modalities exhibit several drawbacks. This often leads to these patients undergoing invasive coronary angiography which may not have been necessary. In this review, we examine the uses and limitations of commonly performed non-invasive tests for diagnosis of CAD in patients with LBBB.

Keywords: Cardiovascular imaging; Cardiovascular magnetic resonance; Coronary artery disease; Left bundle branch block; Nuclear imaging; Stress echocardiography.

Publication types

Review

MeSH terms

Bundle-Branch Block / diagnosis*
Bundle-Branch Block / epidemiology*
Cardiac-Gated Single-Photon Emission Computer-Assisted Tomography / methods
Coronary Angiography / methods
Coronary Artery Disease / diagnosis*
Coronary Artery Disease / epidemiology*
Humans
Magnetic Resonance Imaging / methods
Tomography, X-Ray Computed / methods