Primary angioplasty in acute myocardial infarction with right
bundle branch block: should new onset right bundle branch block
be added to future guidelines as an indication for reperfusion
therapy?

J 2012

Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy?

WIDIMSKÝ, Petr; Filip ROHÁČ; Josef ŠTÁSEK; Petr KALA; Richard ROKYTA et al.

Základní údaje

Originální název

Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy?

Autoři

Vydání

European Heart Journal, 2012, 0195-668X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 14.097

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/12:00059081

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1093/eurheartj/ehr291

UT WoS

000298891000011

Klíčová slova anglicky

Acute myocardial infarction; Right bundle branch block; Left bundle branch block; Primary angioplasty ; Reperfusion

Příznaky

Mezinárodní význam

Změněno: 22. 4. 2013 17:32, Soňa Böhmová

Anotace

V originále

Aims: The current guidelines recommend reperfusion therapy in acute myocardial infarction (AMI) with ST-segment elevation or left bundle branch block (LBBB). Surprisingly, the right bundle branch block (RBBB) is not listed as an indication for reperfusion therapy. This study analysed patients with AMI presenting with RBBB [with or without left anterior hemiblock (LAH) or left posterior hemiblock (LPH)] and compared them with those presenting with LBBB or with other electrocardiographic (ECG) patterns. The aim was to describe angiographic patterns and primary angioplasty use in AMI patients with RBBB. Conclusion: Acute myocardial infarction with RBBB is frequently caused by the complete occlusion of the infarct-related artery and is more frequently treated with primary PCI when compared with AMI + LBBB. In-hospital mortality of patients with AMI and RBBB is highest from all ECG presentations of AMI. Restoration of coronary flow by primary PCI may lead to resolution of the conduction delay on the discharge ECG. Right bundle branch block should strongly be considered for listing in future guidelines as a standard indication for reperfusion therapy, in the same way as LBBB.

Citovat

WIDIMSKÝ, Petr; Filip ROHÁČ; Josef ŠTÁSEK; Petr KALA; Richard ROKYTA; Boyko KUZMANOV; Martin JAKL; Martin POLOCZEK; Jan KAŇOVSKÝ; Ivo BERNAT; Ota HLINOMAZ; Jan BĚLOHLÁVEK; Aleš KRÁL; Vratislav MRÁZEK; Vladimir GRIGOROV; Slavyeko DJAMBAZOV; Robert PETR; Jiří KNOT; Dana BÍLKOVÁ; Michaela FISCHEROVÁ; Karel VONDRÁK; Radek MALÝ a Alena LORENCOVÁ. Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy? European Heart Journal. 2012, roč. 33, č. 1, s. 86–95. ISSN 0195-668X. Dostupné z: https://doi.org/10.1093/eurheartj/ehr291.

@article{951991,
   author = {Widimský, Petr and Roháč, Filip and Štásek, Josef and Kala, Petr and Rokyta, Richard and Kuzmanov, Boyko and Jakl, Martin and Poloczek, Martin and Kaňovský, Jan and Bernat, Ivo and Hlinomaz, Ota and Bělohlávek, Jan and Král, Aleš and Mrázek, Vratislav and Grigorov, Vladimir and Djambazov, Slavyeko and Petr, Robert and Knot, Jiří and Bílková, Dana and Fischerová, Michaela and Vondrák, Karel and Malý, Radek and Lorencová, Alena},
   article_number = {1},
   doi = {https://doi.org/10.1093/eurheartj/ehr291},
   keywords = {Acute myocardial infarction; Right bundle branch block; Left bundle branch block; Primary angioplasty ; Reperfusion},
   language = {eng},
   issn = {0195-668X},
   journal = {European Heart Journal},
   title = {Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy?},
   volume = {33},
   year = {2012}
}

TY  - JOUR
ID  - 951991
AU  - Widimský, Petr - Roháč, Filip - Štásek, Josef - Kala, Petr - Rokyta, Richard - Kuzmanov, Boyko - Jakl, Martin - Poloczek, Martin - Kaňovský, Jan - Bernat, Ivo - Hlinomaz, Ota - Bělohlávek, Jan - Král, Aleš - Mrázek, Vratislav - Grigorov, Vladimir - Djambazov, Slavyeko - Petr, Robert - Knot, Jiří - Bílková, Dana - Fischerová, Michaela - Vondrák, Karel - Malý, Radek - Lorencová, Alena
PY  - 2012
TI  - Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy?
JF  - European Heart Journal
VL  - 33
IS  - 1
SP  - 86–95
EP  - 86–95
SN  - 0195668X
KW  - Acute myocardial infarction
KW  - Right bundle branch block
KW  - Left bundle branch block
KW  - Primary angioplasty
KW  - Reperfusion
N2  - Aims: The current guidelines recommend reperfusion therapy in acute myocardial infarction (AMI) with ST-segment elevation or left bundle branch block (LBBB). Surprisingly, the right bundle branch block (RBBB) is not listed as an indication for reperfusion therapy. This study analysed patients with AMI presenting with RBBB [with or without left anterior hemiblock (LAH) or left posterior hemiblock (LPH)] and compared them with those presenting with LBBB or with other electrocardiographic (ECG) patterns. The aim was to describe angiographic patterns and primary angioplasty use in AMI patients with RBBB. Conclusion: Acute myocardial infarction with RBBB is frequently caused by the complete occlusion of the infarct-related artery and is more frequently treated with primary PCI when compared with AMI + LBBB. In-hospital mortality of patients with AMI and RBBB is highest from all ECG presentations of AMI. Restoration of coronary flow by primary PCI may lead to resolution of the conduction delay on the discharge ECG. Right bundle branch block should strongly be considered for listing in future guidelines as a standard indication for reperfusion therapy, in the same way as LBBB.
ER  -

WIDIMSKÝ, Petr; Filip ROHÁČ; Josef ŠTÁSEK; Petr KALA; Richard ROKYTA; Boyko KUZMANOV; Martin JAKL; Martin POLOCZEK; Jan KAŇOVSKÝ; Ivo BERNAT; Ota HLINOMAZ; Jan BĚLOHLÁVEK; Aleš KRÁL; Vratislav MRÁZEK; Vladimir GRIGOROV; Slavyeko DJAMBAZOV; Robert PETR; Jiří KNOT; Dana BÍLKOVÁ; Michaela FISCHEROVÁ; Karel VONDRÁK; Radek MALÝ a Alena LORENCOVÁ. Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy? \textit{European Heart Journal}. 2012, roč.~33, č.~1, s.~86–95. ISSN~0195-668X. Dostupné z: https://doi.org/10.1093/eurheartj/ehr291.

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