Left bundle branch block and suspected myocardial infarction: does chronicity of the branch block matter?

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Acute myocardial infarction and left bundle branch block.

Complete left bundle branch block often masks old as well as acute myocardial infarctions. However, a diagnosis of acute myocardial infarction in the presence of complete left bundle branch block can be made when the acute injury current is large enough to modify the secondary repolarization abnormalities of left bundle branch block. Under these circumstances the classical ST-T changes of an ac...

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Outcomes in patients with chronicity of left bundle-branch block with possible acute myocardial infarction.

INTRODUCTION Guidelines derived from patients in clinical trials indicate that emergency department patients with likely myocardial infarction (MI) who have new left bundle-branch block (LBBB) should undergo rapid reperfusion therapy. Whether this pertains to lower risk emergency department patients with LBBB is unclear. METHODS A total of 401 consecutive patients with LBBB undergoing an MI r...

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Left Bundle Branch Block

Coronary angiography, cine left ventriculography, and the cardiovascular hemodynamics of 24 patients with left bundle branch block were studied. Seven patients were found to have significant coronary artery disease, always severe. Five had cardiomyopathy and seven had valvular disease. Only those with coronary artery disease or cardiomyopathy had abnormal left ventricular contraction patterns. ...

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Left bundle branch block.

A RECENT STUDY of the prognosis of patients with left bundle branch block (L.B.B.B.) suggested that life expectancy was extremely short (Smith and Hayes 1965). While in general L.B.B.B. has a sinister reputation, we have been struck by a few individuals who have survived many years with L.B.B.B., and we thought an analysis of some of the material available at the Royal Victoria Hospital, Belfas...

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Bundle branch block in acute myocardial infarction.

The management of patients with acute myocardial infarction complicated by bundle branch block is a significant clinical problem and represents 8% to 13% of patients with acute infarction. This study reviews the records of 606 patients with myocardial infarction admitted to our coronary care unit. Forty-seven (8%) had complete bundle branch block. The risk of developing high-degree AV block in ...

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ژورنال

عنوان ژورنال: European Heart Journal: Acute Cardiovascular Care

سال: 2013

ISSN: 2048-8726,2048-8734

DOI: 10.1177/2048872613483589