Relation of New Permanent Right or Left Bundle Branch Block on Short- and Long-Term Mortality in Acute Myocardial Infarction Bundle Branch Block and Myocardial Infarction
The aim of this study was to investigate the prognosis associated with bundle branch block (BBB) depending on location, time of appearance, and duration in patients with myocardial infarction (MI). From January 1998 to January 2008, we recruited 5,570 patients with acute MI. Thirty-day and 7-year al...
Gespeichert in:
Veröffentlicht in: | The American journal of cardiology 2015-10, Vol.116 (7), p.1003-1009 |
---|---|
Hauptverfasser: | , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 1009 |
---|---|
container_issue | 7 |
container_start_page | 1003 |
container_title | The American journal of cardiology |
container_volume | 116 |
creator | Melgarejo-Moreno, Antonio, MD, PhD Galcerá-Tomás, José, MD, PhD Consuegra-Sánchez, Luciano, MD, PhD Alonso-Fernández, Nuria, MD, PhD Díaz-Pastor, Ángela, MD Escudero-García, Germán, MD Jaulent-Huertas, Leticia, MD Vicente-Gilabert, Marta, MD Galcerá-Jornet, Emilio, MD Padilla-Serrano, Antonio, MD, PhD de Gea-García, José, MD, MD Pinar-Bermudez, Eduardo, MD, PhD |
description | The aim of this study was to investigate the prognosis associated with bundle branch block (BBB) depending on location, time of appearance, and duration in patients with myocardial infarction (MI). From January 1998 to January 2008, we recruited 5,570 patients with acute MI. Thirty-day and 7-year all-cause mortality, according to BBB location, time of appearance, and duration were analyzed by multivariable analyses. BBB was present in 964 patients (17.3%); right BBB (RBBB) 10.6% and left BBB (LBBB) 6.7%. Overall mortality rate at 30 days was 13.2% (n = 738) and 7 years was 6.34 deaths per 100 patient-year. Both RBBB and LBBB were more frequently previous, 42.9% and 58.8%. Compared with non-BBB, all BBB groups showed higher prevalence of co-morbidities, especially rates of diabetes (49.0% vs 34.3%, p |
doi_str_mv | 10.1016/j.amjcard.2015.07.019 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1711546892</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S000291491501629X</els_id><sourcerecordid>1711546892</sourcerecordid><originalsourceid>FETCH-LOGICAL-c448t-797c27de7eadfa8d0eb0ef8bf92957dce6f60c9ad432dcd623d46eb5eb50ca333</originalsourceid><addsrcrecordid>eNqFkt9qFDEUxoModq0-ghLwxpsZk8zf3Cjd4p_CVqWt4F3IJme6mc4mbZJR9m36AD5Fn8yMu7pQBCEQEn7fd07OF4SeU5JTQuvXfS7XvZJe54zQKidNTih_gGa0bXhGOS0eohkhhGWclvwAPQmhT0dKq_oxOmA1qwrO2xn6eQaDjMZZ7Dr8CX7gL-DX0oKN-MxcriJ2Hi-gi3g-Wj0Anntp1QrPB6eucFKdr5yPGZZW44Wzl9lFkuPTdCcHEzfYWHykxgj4dOOmZo0c8IntpFe_a_7LNFnd3e7xu9s9_xQ96uQQ4NluP0Rf37-7OP6YLT5_ODk-WmSqLNuYNbxRrNHQgNSdbDWBJYGuXXac8arRCuquJopLXRZMK12zQpc1LKu0iJJFURyiV1vfa-9uRghRrE1QMAxpMG4MgjZpjmXdcpbQl_fQ3o3epu4mKs2ft4wmqtpSyrsQPHTi2pu19BtBiZjiFL3YxSmmOAVpRIoz6V7s3MflGvRf1Z_8EvB2C0Aax3cDXgRlwCrQxoOKQjvz3xJv7jmowVij5HAFGwj714jABBHn05-avhStkifj34pf_lfMNg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1710029821</pqid></control><display><type>article</type><title>Relation of New Permanent Right or Left Bundle Branch Block on Short- and Long-Term Mortality in Acute Myocardial Infarction Bundle Branch Block and Myocardial Infarction</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>ProQuest Central UK/Ireland</source><creator>Melgarejo-Moreno, Antonio, MD, PhD ; Galcerá-Tomás, José, MD, PhD ; Consuegra-Sánchez, Luciano, MD, PhD ; Alonso-Fernández, Nuria, MD, PhD ; Díaz-Pastor, Ángela, MD ; Escudero-García, Germán, MD ; Jaulent-Huertas, Leticia, MD ; Vicente-Gilabert, Marta, MD ; Galcerá-Jornet, Emilio, MD ; Padilla-Serrano, Antonio, MD, PhD ; de Gea-García, José, MD, MD ; Pinar-Bermudez, Eduardo, MD, PhD</creator><creatorcontrib>Melgarejo-Moreno, Antonio, MD, PhD ; Galcerá-Tomás, José, MD, PhD ; Consuegra-Sánchez, Luciano, MD, PhD ; Alonso-Fernández, Nuria, MD, PhD ; Díaz-Pastor, Ángela, MD ; Escudero-García, Germán, MD ; Jaulent-Huertas, Leticia, MD ; Vicente-Gilabert, Marta, MD ; Galcerá-Jornet, Emilio, MD ; Padilla-Serrano, Antonio, MD, PhD ; de Gea-García, José, MD, MD ; Pinar-Bermudez, Eduardo, MD, PhD</creatorcontrib><description>The aim of this study was to investigate the prognosis associated with bundle branch block (BBB) depending on location, time of appearance, and duration in patients with myocardial infarction (MI). From January 1998 to January 2008, we recruited 5,570 patients with acute MI. Thirty-day and 7-year all-cause mortality, according to BBB location, time of appearance, and duration were analyzed by multivariable analyses. BBB was present in 964 patients (17.3%); right BBB (RBBB) 10.6% and left BBB (LBBB) 6.7%. Overall mortality rate at 30 days was 13.2% (n = 738) and 7 years was 6.34 deaths per 100 patient-year. Both RBBB and LBBB were more frequently previous, 42.9% and 58.8%. Compared with non-BBB, all BBB groups showed higher prevalence of co-morbidities, especially rates of diabetes (49.0% vs 34.3%, p <0.001) and more often heart failure during hospitalization (54.5% vs 26.6%, p <0.001). Compared with RBBB, patients with LBBB had a higher prevalence of co-morbidities and a higher mortality, especially the new BBB, 30 days: 52.5% versus 31.6% and 7 years (incident rate): 27.2 versus 13.3 per 100 patient-year. New transient BBB had lower heart failure on admission (42.6% vs 58.3%, p = 0.008) and 30-day mortality (20.3% vs 69.6%, p <0.001) compared with permanent in both locations. New permanent RBBB was independently associated with 30-day (hazard ratio [HR] 2.01, 95% confidence interval [CI] 1.45 to 2.79) and 7-year mortality (HR 3.12, 95% CI 2.38 to 4.09). New-permanent LBBB was independently associated with 30-day (HR 2.15, 95% CI 1.47 to 3.15) and 7-year mortality (HR 2.91, 95% CI 2.08 to 4.08). In conclusion, in patients with acute MI, the appearance of a new BBB was independently associated with a higher 30-day and 7-year all-cause mortality.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2015.07.019</identifier><identifier>PMID: 26253998</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Blood pressure ; Bundle-Branch Block - etiology ; Bundle-Branch Block - mortality ; Bundle-Branch Block - physiopathology ; Cardiovascular ; Cause of Death - trends ; Chronic obstructive pulmonary disease ; Confidence intervals ; Diabetes ; Electrocardiography ; Female ; Follow-Up Studies ; Heart attacks ; Heart Conduction System - physiopathology ; Heart failure ; Heart rate ; Hospital Mortality - trends ; Hospitals ; Humans ; Hypertension ; Male ; Medical prognosis ; Middle Aged ; Mortality ; Myocardial Infarction - complications ; Myocardial Infarction - mortality ; Myocardial Infarction - physiopathology ; Prognosis ; Prospective Studies ; Risk Assessment - methods ; Risk Factors ; Spain - epidemiology ; Stroke ; Survival Rate - trends ; Time Factors ; Variables</subject><ispartof>The American journal of cardiology, 2015-10, Vol.116 (7), p.1003-1009</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Oct 1, 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-797c27de7eadfa8d0eb0ef8bf92957dce6f60c9ad432dcd623d46eb5eb50ca333</citedby><cites>FETCH-LOGICAL-c448t-797c27de7eadfa8d0eb0ef8bf92957dce6f60c9ad432dcd623d46eb5eb50ca333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1710029821?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000,64390,64392,64394,72474</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26253998$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Melgarejo-Moreno, Antonio, MD, PhD</creatorcontrib><creatorcontrib>Galcerá-Tomás, José, MD, PhD</creatorcontrib><creatorcontrib>Consuegra-Sánchez, Luciano, MD, PhD</creatorcontrib><creatorcontrib>Alonso-Fernández, Nuria, MD, PhD</creatorcontrib><creatorcontrib>Díaz-Pastor, Ángela, MD</creatorcontrib><creatorcontrib>Escudero-García, Germán, MD</creatorcontrib><creatorcontrib>Jaulent-Huertas, Leticia, MD</creatorcontrib><creatorcontrib>Vicente-Gilabert, Marta, MD</creatorcontrib><creatorcontrib>Galcerá-Jornet, Emilio, MD</creatorcontrib><creatorcontrib>Padilla-Serrano, Antonio, MD, PhD</creatorcontrib><creatorcontrib>de Gea-García, José, MD, MD</creatorcontrib><creatorcontrib>Pinar-Bermudez, Eduardo, MD, PhD</creatorcontrib><title>Relation of New Permanent Right or Left Bundle Branch Block on Short- and Long-Term Mortality in Acute Myocardial Infarction Bundle Branch Block and Myocardial Infarction</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>The aim of this study was to investigate the prognosis associated with bundle branch block (BBB) depending on location, time of appearance, and duration in patients with myocardial infarction (MI). From January 1998 to January 2008, we recruited 5,570 patients with acute MI. Thirty-day and 7-year all-cause mortality, according to BBB location, time of appearance, and duration were analyzed by multivariable analyses. BBB was present in 964 patients (17.3%); right BBB (RBBB) 10.6% and left BBB (LBBB) 6.7%. Overall mortality rate at 30 days was 13.2% (n = 738) and 7 years was 6.34 deaths per 100 patient-year. Both RBBB and LBBB were more frequently previous, 42.9% and 58.8%. Compared with non-BBB, all BBB groups showed higher prevalence of co-morbidities, especially rates of diabetes (49.0% vs 34.3%, p <0.001) and more often heart failure during hospitalization (54.5% vs 26.6%, p <0.001). Compared with RBBB, patients with LBBB had a higher prevalence of co-morbidities and a higher mortality, especially the new BBB, 30 days: 52.5% versus 31.6% and 7 years (incident rate): 27.2 versus 13.3 per 100 patient-year. New transient BBB had lower heart failure on admission (42.6% vs 58.3%, p = 0.008) and 30-day mortality (20.3% vs 69.6%, p <0.001) compared with permanent in both locations. New permanent RBBB was independently associated with 30-day (hazard ratio [HR] 2.01, 95% confidence interval [CI] 1.45 to 2.79) and 7-year mortality (HR 3.12, 95% CI 2.38 to 4.09). New-permanent LBBB was independently associated with 30-day (HR 2.15, 95% CI 1.47 to 3.15) and 7-year mortality (HR 2.91, 95% CI 2.08 to 4.08). In conclusion, in patients with acute MI, the appearance of a new BBB was independently associated with a higher 30-day and 7-year all-cause mortality.</description><subject>Aged</subject><subject>Blood pressure</subject><subject>Bundle-Branch Block - etiology</subject><subject>Bundle-Branch Block - mortality</subject><subject>Bundle-Branch Block - physiopathology</subject><subject>Cardiovascular</subject><subject>Cause of Death - trends</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Confidence intervals</subject><subject>Diabetes</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart attacks</subject><subject>Heart Conduction System - physiopathology</subject><subject>Heart failure</subject><subject>Heart rate</subject><subject>Hospital Mortality - trends</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Risk Assessment - methods</subject><subject>Risk Factors</subject><subject>Spain - epidemiology</subject><subject>Stroke</subject><subject>Survival Rate - trends</subject><subject>Time Factors</subject><subject>Variables</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkt9qFDEUxoModq0-ghLwxpsZk8zf3Cjd4p_CVqWt4F3IJme6mc4mbZJR9m36AD5Fn8yMu7pQBCEQEn7fd07OF4SeU5JTQuvXfS7XvZJe54zQKidNTih_gGa0bXhGOS0eohkhhGWclvwAPQmhT0dKq_oxOmA1qwrO2xn6eQaDjMZZ7Dr8CX7gL-DX0oKN-MxcriJ2Hi-gi3g-Wj0Anntp1QrPB6eucFKdr5yPGZZW44Wzl9lFkuPTdCcHEzfYWHykxgj4dOOmZo0c8IntpFe_a_7LNFnd3e7xu9s9_xQ96uQQ4NluP0Rf37-7OP6YLT5_ODk-WmSqLNuYNbxRrNHQgNSdbDWBJYGuXXac8arRCuquJopLXRZMK12zQpc1LKu0iJJFURyiV1vfa-9uRghRrE1QMAxpMG4MgjZpjmXdcpbQl_fQ3o3epu4mKs2ft4wmqtpSyrsQPHTi2pu19BtBiZjiFL3YxSmmOAVpRIoz6V7s3MflGvRf1Z_8EvB2C0Aax3cDXgRlwCrQxoOKQjvz3xJv7jmowVij5HAFGwj714jABBHn05-avhStkifj34pf_lfMNg</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Melgarejo-Moreno, Antonio, MD, PhD</creator><creator>Galcerá-Tomás, José, MD, PhD</creator><creator>Consuegra-Sánchez, Luciano, MD, PhD</creator><creator>Alonso-Fernández, Nuria, MD, PhD</creator><creator>Díaz-Pastor, Ángela, MD</creator><creator>Escudero-García, Germán, MD</creator><creator>Jaulent-Huertas, Leticia, MD</creator><creator>Vicente-Gilabert, Marta, MD</creator><creator>Galcerá-Jornet, Emilio, MD</creator><creator>Padilla-Serrano, Antonio, MD, PhD</creator><creator>de Gea-García, José, MD, MD</creator><creator>Pinar-Bermudez, Eduardo, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7Z</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20151001</creationdate><title>Relation of New Permanent Right or Left Bundle Branch Block on Short- and Long-Term Mortality in Acute Myocardial Infarction Bundle Branch Block and Myocardial Infarction</title><author>Melgarejo-Moreno, Antonio, MD, PhD ; Galcerá-Tomás, José, MD, PhD ; Consuegra-Sánchez, Luciano, MD, PhD ; Alonso-Fernández, Nuria, MD, PhD ; Díaz-Pastor, Ángela, MD ; Escudero-García, Germán, MD ; Jaulent-Huertas, Leticia, MD ; Vicente-Gilabert, Marta, MD ; Galcerá-Jornet, Emilio, MD ; Padilla-Serrano, Antonio, MD, PhD ; de Gea-García, José, MD, MD ; Pinar-Bermudez, Eduardo, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-797c27de7eadfa8d0eb0ef8bf92957dce6f60c9ad432dcd623d46eb5eb50ca333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Blood pressure</topic><topic>Bundle-Branch Block - etiology</topic><topic>Bundle-Branch Block - mortality</topic><topic>Bundle-Branch Block - physiopathology</topic><topic>Cardiovascular</topic><topic>Cause of Death - trends</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Confidence intervals</topic><topic>Diabetes</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart attacks</topic><topic>Heart Conduction System - physiopathology</topic><topic>Heart failure</topic><topic>Heart rate</topic><topic>Hospital Mortality - trends</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - mortality</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Risk Assessment - methods</topic><topic>Risk Factors</topic><topic>Spain - epidemiology</topic><topic>Stroke</topic><topic>Survival Rate - trends</topic><topic>Time Factors</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Melgarejo-Moreno, Antonio, MD, PhD</creatorcontrib><creatorcontrib>Galcerá-Tomás, José, MD, PhD</creatorcontrib><creatorcontrib>Consuegra-Sánchez, Luciano, MD, PhD</creatorcontrib><creatorcontrib>Alonso-Fernández, Nuria, MD, PhD</creatorcontrib><creatorcontrib>Díaz-Pastor, Ángela, MD</creatorcontrib><creatorcontrib>Escudero-García, Germán, MD</creatorcontrib><creatorcontrib>Jaulent-Huertas, Leticia, MD</creatorcontrib><creatorcontrib>Vicente-Gilabert, Marta, MD</creatorcontrib><creatorcontrib>Galcerá-Jornet, Emilio, MD</creatorcontrib><creatorcontrib>Padilla-Serrano, Antonio, MD, PhD</creatorcontrib><creatorcontrib>de Gea-García, José, MD, MD</creatorcontrib><creatorcontrib>Pinar-Bermudez, Eduardo, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biochemistry Abstracts 1</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Melgarejo-Moreno, Antonio, MD, PhD</au><au>Galcerá-Tomás, José, MD, PhD</au><au>Consuegra-Sánchez, Luciano, MD, PhD</au><au>Alonso-Fernández, Nuria, MD, PhD</au><au>Díaz-Pastor, Ángela, MD</au><au>Escudero-García, Germán, MD</au><au>Jaulent-Huertas, Leticia, MD</au><au>Vicente-Gilabert, Marta, MD</au><au>Galcerá-Jornet, Emilio, MD</au><au>Padilla-Serrano, Antonio, MD, PhD</au><au>de Gea-García, José, MD, MD</au><au>Pinar-Bermudez, Eduardo, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relation of New Permanent Right or Left Bundle Branch Block on Short- and Long-Term Mortality in Acute Myocardial Infarction Bundle Branch Block and Myocardial Infarction</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>116</volume><issue>7</issue><spage>1003</spage><epage>1009</epage><pages>1003-1009</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>The aim of this study was to investigate the prognosis associated with bundle branch block (BBB) depending on location, time of appearance, and duration in patients with myocardial infarction (MI). From January 1998 to January 2008, we recruited 5,570 patients with acute MI. Thirty-day and 7-year all-cause mortality, according to BBB location, time of appearance, and duration were analyzed by multivariable analyses. BBB was present in 964 patients (17.3%); right BBB (RBBB) 10.6% and left BBB (LBBB) 6.7%. Overall mortality rate at 30 days was 13.2% (n = 738) and 7 years was 6.34 deaths per 100 patient-year. Both RBBB and LBBB were more frequently previous, 42.9% and 58.8%. Compared with non-BBB, all BBB groups showed higher prevalence of co-morbidities, especially rates of diabetes (49.0% vs 34.3%, p <0.001) and more often heart failure during hospitalization (54.5% vs 26.6%, p <0.001). Compared with RBBB, patients with LBBB had a higher prevalence of co-morbidities and a higher mortality, especially the new BBB, 30 days: 52.5% versus 31.6% and 7 years (incident rate): 27.2 versus 13.3 per 100 patient-year. New transient BBB had lower heart failure on admission (42.6% vs 58.3%, p = 0.008) and 30-day mortality (20.3% vs 69.6%, p <0.001) compared with permanent in both locations. New permanent RBBB was independently associated with 30-day (hazard ratio [HR] 2.01, 95% confidence interval [CI] 1.45 to 2.79) and 7-year mortality (HR 3.12, 95% CI 2.38 to 4.09). New-permanent LBBB was independently associated with 30-day (HR 2.15, 95% CI 1.47 to 3.15) and 7-year mortality (HR 2.91, 95% CI 2.08 to 4.08). In conclusion, in patients with acute MI, the appearance of a new BBB was independently associated with a higher 30-day and 7-year all-cause mortality.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26253998</pmid><doi>10.1016/j.amjcard.2015.07.019</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0002-9149 |
ispartof | The American journal of cardiology, 2015-10, Vol.116 (7), p.1003-1009 |
issn | 0002-9149 1879-1913 |
language | eng |
recordid | cdi_proquest_miscellaneous_1711546892 |
source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
subjects | Aged Blood pressure Bundle-Branch Block - etiology Bundle-Branch Block - mortality Bundle-Branch Block - physiopathology Cardiovascular Cause of Death - trends Chronic obstructive pulmonary disease Confidence intervals Diabetes Electrocardiography Female Follow-Up Studies Heart attacks Heart Conduction System - physiopathology Heart failure Heart rate Hospital Mortality - trends Hospitals Humans Hypertension Male Medical prognosis Middle Aged Mortality Myocardial Infarction - complications Myocardial Infarction - mortality Myocardial Infarction - physiopathology Prognosis Prospective Studies Risk Assessment - methods Risk Factors Spain - epidemiology Stroke Survival Rate - trends Time Factors Variables |
title | Relation of New Permanent Right or Left Bundle Branch Block on Short- and Long-Term Mortality in Acute Myocardial Infarction Bundle Branch Block and Myocardial Infarction |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-15T15%3A42%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Relation%20of%20New%20Permanent%20Right%20or%20Left%20Bundle%20Branch%20Block%20on%20Short-%20and%20Long-Term%20Mortality%20in%20Acute%20Myocardial%20Infarction%20Bundle%20Branch%20Block%20and%C2%A0Myocardial%C2%A0Infarction&rft.jtitle=The%20American%20journal%20of%20cardiology&rft.au=Melgarejo-Moreno,%20Antonio,%20MD,%20PhD&rft.date=2015-10-01&rft.volume=116&rft.issue=7&rft.spage=1003&rft.epage=1009&rft.pages=1003-1009&rft.issn=0002-9149&rft.eissn=1879-1913&rft.coden=AJCDAG&rft_id=info:doi/10.1016/j.amjcard.2015.07.019&rft_dat=%3Cproquest_cross%3E1711546892%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1710029821&rft_id=info:pmid/26253998&rft_els_id=S000291491501629X&rfr_iscdi=true |