An elderly lady suffers a coronary occlusion and subsequently it is noted that there is a complete heart block (that is, the right and left bundles of the conduction system have been damaged). The artery most likely involved is the: acute marginal branch circumflex branch anterior interventricular (Left anterior descending) obtuse marginal posterior interventricular (posterior descending
Question
An elderly lady suffers a coronary occlusion and subsequently it is noted that there is a complete heart block (that is, the right and left bundles of the conduction system have been damaged). The artery most likely involved is the: acute marginal branch circumflex branch anterior interventricular (Left anterior descending) obtuse marginal posterior interventricular (posterior descending
Solution
The artery most likely involved in a complete heart block, where both the right and left bundles of the conduction system have been damaged, is the Anterior Interventricular artery, also known as the Left Anterior Descending artery.
Here's why:
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The heart's conduction system, which controls the heart rate, is mainly supplied by the right and left coronary arteries.
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The right bundle branch is usually supplied by the right coronary artery, while the left bundle branch is usually supplied by the left coronary artery.
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The Left Anterior Descending artery (LAD), a branch of the left coronary artery, supplies the anterior part of the interventricular septum, which contains the bundle of His and the bundle branches.
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Therefore, occlusion of the LAD could lead to damage of both the right and left bundles, resulting in a complete heart block.
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The other arteries mentioned (acute marginal branch, circumflex branch, obtuse marginal, posterior interventricular/posterior descending) are less likely to be involved in a complete heart block as they do not supply the bundle branches to the same extent as the LAD.
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