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(Circulation. 1966;34:783.)
© 1966 American Heart Association, Inc.

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Complete Heart Block Induced During Cardiac Catheterization of Patients with Pre-existent Bundle-Branch Block

The Hazard of Bilateral Bundle-Branch Block

PAUL D. STEIN M.D.¹; VIRENDRA S. MATHUR M.D.¹; MICHAEL V. HERMAN M.D.¹; HAROLD D. LEVINE M.D.¹

¹ From the Department of Medicine, Peter Bent Brigham Hospital and Harvard Medical School, and the Circulation Laboratory, Boston City Hospital and Tufts University School of Medicine, Boston, Massachusetts.

The hazard of complete atrioventricular block during cardiac catheterization of patients with pre-existent bundle-branch block is described. A catheter-induced bundle-branch block, during catheterization of the ventricle opposite that which was already the site of bundle-branch block, would produce complete heart block in the form of bilateral bundle-branch block. Five patients in whom this complication occurred are described.

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