Influence of right bundle branch block on short- and long-term survival after acute anterior myocardial infarction

Détails

ID Serval
serval:BIB_2018A7562C05
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Influence of right bundle branch block on short- and long-term survival after acute anterior myocardial infarction
Périodique
Journal of the American College of Cardiology
Auteur⸱e⸱s
Ricou  F., Nicod  P., Gilpin  E., Henning  H., Ross, J., Jr. 
ISSN
0735-1097 (Print)
Statut éditorial
Publié
Date de publication
03/1991
Volume
17
Numéro
4
Pages
858-63
Notes
Comparative Study
Journal Article
Research Support, U.S. Gov't, P.H.S. --- Old month value: Mar 15
Résumé
The impact of right bundle branch block on long-term prognosis after anterior wall myocardial infarction is unclear. In 932 patients with Q wave anterior infarction, the short- and long-term prognostic significance of the presence of right bundle branch block was analyzed. Compared with 754 patients without block, 178 patients with right bundle branch block after myocardial infarction showed an increased incidence of left ventricular failure (72% versus 52%, p less than 0.001) and increased in-hospital (32% versus 8%, p less than 0.001) and 1 year after hospital discharge (17% versus 7%, p less than 0.001) cardiac mortality rates. The presence of right bundle branch block was an independent predictor of increased in-hospital and 1-year mortality when entered in a multivariate analysis. However, the absence of left ventricular failure identified a subgroup of patients with right bundle branch block with low in-hospital (4%) and 1 year postdischarge (5%) cardiac mortality rates comparable with those of patients with neither failure nor right bundle branch block (1.7% and 4.8%, respectively). In the presence of left ventricular failure, patients with associated right bundle branch block had higher in-hospital (43% versus 14%, p less than 0.01) and 1 year postdischarge (24% versus 9%, p less than 0.01) cardiac mortality rates than those of patients with failure but no right bundle branch block. Thus, the presence of right bundle branch block after anterior myocardial infarction is an independent marker of poor prognosis.(ABSTRACT TRUNCATED AT 250 WORDS)
Mots-clé
Bundle-Branch Block/*mortality Female Follow-Up Studies Heart Failure, Congestive/epidemiology Humans Incidence Male Middle Aged Multivariate Analysis Myocardial Infarction/*mortality Prognosis Prospective Studies Risk Factors Survival Analysis Time Factors
Pubmed
Web of science
Open Access
Oui
Création de la notice
25/01/2008 14:00
Dernière modification de la notice
20/08/2019 12:56
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