American Heart Journal
Volume 156, Issue 2 , Pages 256-261 , August 2008

Incidence and clinical impact of right bundle branch block in patients with acute myocardial infarction: ST elevation myocardial infarction versus non-ST elevation myocardial infarction

  • Thomas Kleemann, MD

      Affiliations

    • Herzzentrum Ludwigshafen, Institut für Herzinfarktforschung Ludwigshafen an der Universität Heidelberg, Ludwigshafen, Germany
    • Corresponding Author InformationReprint requests: Thomas Kleemann, MD, Herzzentrum Ludwigshafen, Zentrum für Herzrhythmusstörungen, Bremserstraße 79, 67063 Ludwigshafen, Germany.
    • ,
  • Claus Juenger, MPH

      Affiliations

    • Herzzentrum Ludwigshafen, Institut für Herzinfarktforschung Ludwigshafen an der Universität Heidelberg, Ludwigshafen, Germany
    • ,
  • Anselm Kai Gitt, MD

      Affiliations

    • Herzzentrum Ludwigshafen, Institut für Herzinfarktforschung Ludwigshafen an der Universität Heidelberg, Ludwigshafen, Germany
    • ,
  • Rudolf Schiele, MD

      Affiliations

    • Herzzentrum Ludwigshafen, Institut für Herzinfarktforschung Ludwigshafen an der Universität Heidelberg, Ludwigshafen, Germany
    • ,
  • Steffen Schneider, PhD

      Affiliations

    • Herzzentrum Ludwigshafen, Institut für Herzinfarktforschung Ludwigshafen an der Universität Heidelberg, Ludwigshafen, Germany
    • ,
  • Jochen Senges, MD, FESC

      Affiliations

    • Herzzentrum Ludwigshafen, Institut für Herzinfarktforschung Ludwigshafen an der Universität Heidelberg, Ludwigshafen, Germany
    • ,
  • Harald Darius, MD

      Affiliations

    • Vivantes-Klinikum Neukölln, Berlin, Germany
    • ,
  • Karlheinz Seidl, MD, FESC

      Affiliations

    • Herzzentrum Ludwigshafen, Institut für Herzinfarktforschung Ludwigshafen an der Universität Heidelberg, Ludwigshafen, Germany
    • ,
  • for the MITRA PLUS Study Group

Received 19 November 2007 ,Accepted 4 March 2008.

References 

  1. Go AS, Barron HV, Rundle AC, et al. Bundle-branch block and in-hospital mortality in acute myocardial infarction. National Registry of Myocardial Infarction 2 Investigators. Ann Intern Med. 1998;129:690–697
  2. Melgarejo-Moreno A, Galcera-Tomas J, Garcia-Alberola A, et al. Incidence, clinical characteristics, and prognostic significance of right bundle-branch block in acute myocardial infarction: a study in the thrombolytic era. Circulation. 1997;96:1139–1144
  3. Newby KH, Pisano E, Krucoff MW, et al. Incidence and clinical relevance of the occurrence of bundle-branch block in patients treated with thrombolytic therapy. Circulation. 1996;94:2424–2428
  4. Godman MJ, Lassers BW, Julian DG. Complete bundle-branch block complicating acute myocardial infarction. N Engl J Med. 1970;282:237–240
  5. Gould L, Venkataraman K, Mohammad N, et al. Prognosis of right bundle-branch block in acute myocardial infarction. JAMA. 1972;219:502–503
  6. Hindman MC, Wagner GS, JaRo M, et al. The clinical significance of bundle branch block complicating acute myocardial infarction. Clinical characteristics, hospital mortality, and one-year follow-up. Circulation. 1978;58:679–688
  7. Rustige J, Schiele R, Burczyk U, et al. The 60 minutes myocardial infarction project. Treatment and clinical outcome of patients with acute myocardial infarction in Germany. Eur Heart J. 1997;18:1438–1446
  8. Schuster S, Koch A, Burczyk U, et al. Early treatment of myocardial infarct: implementation of therapy guidelines in routine clinical practice, the MITRA pilot phase. Z Kardiol. 1997;86:273–283
  9. Wagner S, Schneider S, Schiele R, et al. Acute myocardial infarction in Germany between 1996 and 1998; therapy and intrahospital course: results of the Myocardial Infarction Registry (MIR) in Germany. Z Kardiol. 1999;88:857–867
  10. Wienbergen H, Gitt AK, Schiele R, et al. Actual clinical practice of exercise testing in consecutive patients after non–ST-elevation myocardial infarction: results of the Acute Coronary Syndromes Registry. Eur J Cardiovasc Prev Rehabil. 2006;13:457–463
  11. Heer T, Gitt AK, Juenger C, et al. for the ACOS Investigators Gender differences in acute non–ST-segment elevation myocardial infarction. Am J Cardiol. 2006;98:160–166
  12. Lorenz H, Jünger C, Seidl K, et al. Do statins influence the prognostic impact of non-sustained ventricular tachycardia after ST-elevation myocardial infarction. Eur Heart J. 2005;26:1078–1085
  13. Willems JL, Robles de Medina EO, Bernard R, et al. Criteria for intraventricular conduction disturbances and pre-excitation. World Health Organizational/International Society and Federation for Cardiology Task Force Ad Hoc. J Am Coll Cardiol. 1985;5:1261–1275
  14. Brilakis ES, Wright S, Kopecky SL, et al. Bundle branch block as a predictor of long-term survival after acute myocardial infarction. Am J Cardiol. 2001;88:205–209
  15. Sgarbossa EB, Pinski SL, Topol EJ, et al. Acute myocardial infarction and complete bundle branch block at hospital admission: clinical characteristics and outcome in the thrombolytic era. GUSTO-I Investigators. Global Utilization of Streptokinase and t-PA [tissue-type plasminogen activator] for Occluded Coronary Arteries. J Am Coll Cardiol. 1998;31:105–110
  16. Ricou F, Nicod P, Gilpin E, et al. Influence of right bundle branch block on short- and long-term survival after acute anterior myocardial infarction. J Am Coll Cardiol. 1991;17:858–863
  17. Wong CK, Stewart RA, Gao W, et al. for the Hirulog and Early Reperfusion or Occlusion (HERO-2) Trial Investigators Prognostic differences between different types of bundle branch block during the early phase of acute myocardial infarction: insights from the Hirulog and Early Reperfusion or Occlusion (HERO)-2 trial. Eur Heart J. 2006;27:21–28
  18. Wong CK, Gao W, Stewart RA, et al. Hirulog Early Reperfusion Occlusion (HERO-2) Investigators. Risk stratification of patients with acute anterior myocardial infarction and right bundle-branch block: importance of QRS duration and early ST-segment resolution after fibrinolytic therapy. Circulation. 2006;114:783–789
  19. Rotman M, Triebwasser JH. A clinical and follow-up study of right and left bundle branch block. Circulation. 1975;51:477
  20. Schneider JF. Newly acquired left bundle-branch block: the Framingham Study. Ann Intern Med. 1979;90:303–310
  21. McAnulty JH. A prospective study of sudden death in “high risk” bundle-branch block. N Engl J Med. 1978;299:209–215
  22. Fazzini PF, Marchi F, Pucci P. Prognostic value of intraventricular conduction blocks in acute myocardial infarction. Acta Cardiol. 1976;31:455–465
  23. Nimetz AA, Shubrooks SJ, Hutter AM, et al. The significance of bundle branch block during acute myocardial infarction. Am Heart J. 1975;90:439–444
  24. Suarez G, Herrera M, Vera A, et al. Prediction on admission of in-hospital mortality in patients older than 70 years with acute myocardial infarction. Chest. 1995;108:83–88
  25. Olsson G, Rehnqvist N. Ventricular arrhythmias during the first year after acute myocardial infarction: influence of long-term treatment with metoprolol. Circulation. 1984;69:1129–1134
  26. Dubois C, Pierard LA, Smeets JP, et al. Short- and long-term prognostic importance of complete bundle-branch block complicating acute myocardial infarction. Clin Cardiol. 1988;11:292–296
  27. Rubart M, Zipes DP. Genesis of cardiac arrhythmias: electrophysiological considerations. In:  Zipes DP,  Libby P,  Bonow RO,  Braunwald E editor. Braunwald's heart disease: a textbook of cardiovascular medicine. 7th ed. Philadelphia: Elsevier; 2005;p. 653–688

 The MITRA PLUS study was supported by the Landesversicherungsanstalt, Rheinland-Pfalz, Germany; Ministry for Employment, Public Health and Social Affairs, Rheinland-Pfalz, Germany; MSD Sharp&Dohme, Haar, Germany; Bristol-Myers Squibb, München, Germany; Aventis Pharma, Bad Soden, Germany; AstraZeneca, Wedel, Germany; Pfizer, Karlsruhe, Germany; and Abbott, Ludwigshafen, Germany.

PII: S0002-8703(08)00163-4

doi: 10.1016/j.ahj.2008.03.003

American Heart Journal
Volume 156, Issue 2 , Pages 256-261 , August 2008

Article Tools

* Image Usage & Resolution