PMID: 3383467May 1, 1988Paper

Short- and long-term prognostic importance of complete bundle-branch block complicating acute myocardial infarction

Clinical Cardiology
C DuboisH E Kulbertus

Abstract

Among 1013 consecutive patients with acute myocardial infarction (AMI), 104 (10%) developed complete bundle-branch block (BBB). The clinical characteristics and the short- and long-term prognosis were similar in the 53 patients with right and the 51 patients with left BBB. Compared to the 909 patients without this conduction disturbance, these 104 patients were older (64 +/- 9 vs. 58 +/- 10 years, p less than 0.001), more frequently women (26 vs. 17%, p less than 0.05), had a larger infarct (peak CK 1672 +/- 1124 vs. 1356 +/- 1089 IU/l, p less than 0.001), more frequently anterior (60 vs. 37%, p less than 0.001). They had a higher incidence of Killip class greater than 1 (63 vs. 38%, p less than 0.001), pericarditis (40 vs. 23%, p less than 0.001), atrial fibrillation or flutter (22 vs. 12%, p less than 0.01), ventricular fibrillation (15 vs. 9%, p less than 0.05), and atrioventricular block (23 vs. 11%, p less than 0.001). Both hospital mortality (32 vs 10%, p less than 0.001) and 3-year posthospital mortality (37 vs. 18%, p less than 0.001) were much higher among patients with complete BBB. Transient BBB had the same deleterious prognosis as BBB persistent at discharge (mortality 33 vs. 39%, NS). The prognostic importance of ...Continue Reading

References

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Citations

May 4, 2001·International Journal of Cardiology·G GunnarssonM Dellborg
Jul 27, 2001·The American Journal of Cardiology·E S BrilakisW L Miller
May 20, 2009·Clinical Cardiology·Haitham Hreybe, Samir Saba
Aug 16, 2002·Clinics in Geriatric Medicine·John P Bourke
Apr 7, 2010·American Heart Journal·Fahad BaslaibUNKNOWN Canadian Acute Coronary Syndrome Registry Investigators
Aug 25, 2016·The American Journal of Cardiology·Johannes GrandChristian Hassager
Sep 18, 1998·Emergency Medicine Clinics of North America·T P Aufderheide
Jul 18, 2006·Nature Materials·Duncan KilburnJob Ubbink

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