The authors report a rare type of alternating bundle branch block observed in a patient with cardiac sarcoidosis. Not only alternation of complete right and left bundle branch block but also narrow QRS complexes were observed on electrocardiogram. The mechanism of these unusual findings is briefly discussed.
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References
1.
Sharma OP, Maheshwari A, Thaker K: Myocardial sarcoidosis. Chest103:253-258, 1991.
2.
Friedman HS, Karikh NK, Chander N, et al: Sarcoidosis with incomplete bilateral bundle branch block pattern disappearing following steroid therapy: An electrophysiological study. Eur J Cardiol4:141-150, 1976.
3.
Wu D, Denes P, Dhingra RC, et al: Electrophysiological and clinical observations in patients with alternating bundle branch block. Circulation53:456-464, 1976.
4.
Lenegre J: Etiology and pathology of bilateral bundle branch block in relation to complete heart block. Prog Cardiovasc Dis6:409, 1964.
5.
Rosenbaum MB, Elizari MV, Lazzari JO, et al: Bilateral bundle branch block: Its recognition and significance. Cardiovasc Clin2:151-179, 1971.
6.
Günter L, Isabel D, Bernhard Z, et al: Recurrent symptomatic bilateral bundle branch block in a 74-year-old patient with a prosthetic aortic valve: A description of a case and review of the literature. Int J Cardiol71:283-286, 1999.