|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
|
|
|
|||||||||
|
|||||||||||
|
J Am Coll Cardiol, 1987; 10:73-80 © 1987 by the American College of Cardiology Foundation |
The onset of bundle branch block during acute myocardial infarction is indicative of ischemia in the distribution of the left anterior descending coronary artery. However, whether patients with chronic coronary artery disease and bundle branch block have a predominance of left anterior descending artery lesions is not known. Similarly, the prognostic implications of bundle branch block have been studied primarily in the setting of acute myocardial infarction, and the independent prognostic implications of bundle branch block in patients with chronic coronary artery disease are not known. The electrocardiograms (ECGs) of 15,609 patients with chronic coronary artery disease who underwent coronary and left ventricular angiography as part of the Coronary Artery Surgery Study (CASS) were reviewed, and 522 patients with bundle branch block were identified. Patients with bundle branch block had both more extensive coronary artery disease and worse left ventricular function than did patients without bundle branch block. However, no particular location of coronary artery stenosis or left ventricular wall motion abnormality predominated in patients with bundle branch block. During a follow-up period of 4.9 +/- 1.3 years, 2,386 patients died. Actuarial probability of mortality at 2 years in patients with left bundle branch block was more than five times that in patients without bundle branch block (p less than 0.0001), and in patients with right bundle branch block the mortality rate was approximately twice that in patients without bundle branch block (p less than 0.0001). Stepwise Cox regression analysis showed that left bundle branch block, but not right bundle branch block, was a strong predictor of mortality, independent of degree of heart failure, extent of coronary disease and other variables (p less than 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)
This article has been cited by other articles:
|
|
 |
|
  M. K. Das, H. Suradi, W. Maskoun, M. A. Michael, C. Shen, J. Peng, G. Dandamudi, and J. Mahenthiran Fragmented Wide QRS on a 12-Lead ECG: A Sign of Myocardial Scar and Poor Prognosis Circ Arrhythmia Electrophysiol, October 1, 2008; 1(4): 258 - 268. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. J. Goldberger, M. E. Cain, S. H. Hohnloser, A. H. Kadish, B. P. Knight, M. S. Lauer, B. J. Maron, R. L. Page, R. S. Passman, D. Siscovick, et al. American Heart Association/American College of Cardiology Foundation/Heart Rhythm Society Scientific Statement on Noninvasive Risk Stratification Techniques for Identifying Patients at Risk for Sudden Cardiac Death: A Scientific Statement From the American Heart Association Council on Clinical Cardiology Committee on Electrocardiography and Arrhythmias and Council on Epidemiology and Prevention J. Am. Coll. Cardiol., September 30, 2008; 52(14): 1179 - 1199. [Full Text] [PDF]
|
|
|
|
 |
|
 J. J. Goldberger, M. E. Cain, S. H. Hohnloser, A. H. Kadish, B. P. Knight, M. S. Lauer, B. J. Maron, R. L. Page, R. S. Passman, D. Siscovick, et al. American Heart Association/American College of Cardiology Foundation/Heart Rhythm Society Scientific Statement on Noninvasive Risk Stratification Techniques for Identifying Patients at Risk for Sudden Cardiac Death: A Scientific Statement From the American Heart Association Council on Clinical Cardiology Committee on Electrocardiography and Arrhythmias and Council on Epidemiology and Prevention Circulation, September 30, 2008; 118(14): 1497 - 1518. [Full Text] [PDF]
|
|
|
|
 |
|
 C. Strom Moller, B. Zethelius, J. Sundstrom, and L. Lind Persistent ischaemic ECG abnormalities on repeated ECG examination have important prognostic value for cardiovascular disease beyond established risk factors: a population-based study in middle-aged men with up to 32 years of follow-up Heart, September 1, 2007; 93(9): 1104 - 1110. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Ghostine, C. Caussin, B. Daoud, M. Habis, E. Perrier, D. Pesenti-Rossi, A. Sigal-Cinqualbre, C.-Y. Angel, B. Lancelin, A. Capderou, et al. Non-Invasive Detection of Coronary Artery Disease in Patients With Left Bundle Branch Block Using 64-Slice Computed Tomography J. Am. Coll. Cardiol., November 21, 2006; 48(10): 1929 - 1934. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Wieneke, K. Sattler, C. von Birgelen, D. Bose, M. Haude, W. Rechenberg, S. Sack, N. Dagres, and R. Erbel Impact of intraventricular conduction delay on coronary haemodynamics: a study with intracoronary Doppler in patients with bundle branch blocks and normal coronary arteries. Europace, March 1, 2006; 8(3): 151 - 156. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Eriksson, L. Wilhelmsen, and A. Rosengren Bundle-branch block in middle-aged men: risk of complications and death over 28 years: The Primary Prevention Study in Goteborg, Sweden Eur. Heart J., November 1, 2005; 26(21): 2300 - 2306. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Buxton, M. O. Sweeney, M. S. Wathen, M. E. Josephson, M. F. Otterness, E. Hogan-Miller, A. J. Stark, P. J. DeGroot, and for the PainFREE Rx II Investigators QRS Duration Does Not Predict Occurrence of Ventricular Tachyarrhythmias in Patients With Implanted Cardioverter-Defibrillators J. Am. Coll. Cardiol., July 19, 2005; 46(2): 310 - 316. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Stenestrand, F. Tabrizi, J. Lindback, A. Englund, M. Rosenqvist, and L. Wallentin Comorbidity and Myocardial Dysfunction Are the Main Explanations for the Higher 1-Year Mortality in Acute Myocardial Infarction With Left Bundle-Branch Block Circulation, October 5, 2004; 110(14): 1896 - 1902. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. J. Zimetbaum, A. E. Buxton, W. Batsford, J. D. Fisher, G. E. Hafley, K. L. Lee, M. F. O'Toole, R. L. Page, M. Reynolds, and M. E. Josephson Electrocardiographic Predictors of Arrhythmic Death and Total Mortality in the Multicenter Unsustained Tachycardia Trial Circulation, August 17, 2004; 110(7): 766 - 769. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Eriksson, P.-O. Hansson, H. Eriksson, and M. Dellborg Bundle-Branch Block in a General Male Population : The Study of Men Born 1913 Circulation, December 1, 1998; 98(22): 2494 - 2500. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. M. Wagdy, D. Hodge, T. F. Christian, T. D. Miller, and R. J. Gibbons Prognostic Value of Vasodilator Myocardial Perfusion Imaging in Patients With Left Bundle-Branch Block Circulation, April 28, 1998; 97(16): 1563 - 1570. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. H. Newby, E. Pisano, M. W. Krucoff, C. Green, and A. Natale Incidence and Clinical Relevance of the Occurrence of Bundle-Branch Block in Patients Treated With Thrombolytic Therapy Circulation, November 15, 1996; 94(10): 2424 - 2428. [Abstract] [Full Text]
|
|
|
|
 |
|
 E. B. Sgarbossa, S. L. Pinski, A. Barbagelata, D. A. Underwood, K. B. Gates, E. J. Topol, R. M. Califf, G. S. Wagner, The GUSTO-1 (Global Utilization of Streptokinase a, and Tissue Plasminogen Activator for Occluded Coronary Electrocardiographic Diagnosis of Evolving Acute Myocardial Infarction in the Presence of Left Bundle-Branch Block N. Engl. J. Med., February 22, 1996; 334(8): 481 - 487. [Abstract] [Full Text] [PDF]
|
|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
