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Nevertheless, the operator performed intravascular ultrasound and saw erupted calcium nodule consistent with plaque erosion. Echocardiogram showed inferior hypokinesis. As you can see, the lesion is not very angiographically impressive , more on this below. Troponin was rising when last checked, 8928 ng/L.
In this study of consecutive patients with LBBB who were hospitalized and had an echocardiogram, a QRS duration less than 170 ms (n = 262), vs. greater than 170 ms (n = 38), was associated with a significantly better ejection fraction (36% vs. 24%). So indeed the QRS is approximately 200 ms. Comment: What is the normal QRS duration in LBBB?
There were no plaques or stenoses. It is reasonable to perform an echocardiogram to evaluate LV function. A workup was undertaken in search of a cause of the patient's ventricular arrhythmia. As noted above echocardiography was completely normal. CT coronary angiogram showed a hypoplastic RCA and dominant LCx. 3] Lavalle, C.
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