| Bundle branch block and acute myocardial infarction. Treatment and outcome. | |
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MedLine Citation:
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PMID: 11214010 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To study early diagnosis, treatment and outcome in patients with bundle branch block and clinically suspected acute myocardial infarction. DESIGN: A prospective multicenter study including 14 Swedish coronary care units. The study included 257 consecutive patients with bundle branch block and clinical suspicion of acute myocardial infarction. RESULTS: Left bundle branch block was present in 62% of patients and right bundle branch block in 38%. Thrombolytic treatment of acute myocardial infarction in the left and right bundle branch block was 16% and 36%, respectively. Of those undergoing thrombolytic therapy, 20% of patients with left and 13% with right bundle branch block did not develop an acute myocardial infarction. Patients with left bundle branch block had higher mortality rates than those with right bundle branch block. After one year there was no difference in mortality rates between patients with and those without acute myocardial infarction on admission. CONCLUSION: Patients with bundle branch block and suspected acute myocardial infarction receive suboptimal treatment. Thus better diagnostic regimes are needed to identify those patients with bundle branch block and acute myocardial infarction who are suitable for thrombolytic treatment. |
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Authors:
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G Gunnarsson; P Eriksson; M Dellborg |
Publication Detail:
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Type: Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Scandinavian cardiovascular journal : SCJ Volume: 34 ISSN: 1401-7431 ISO Abbreviation: Scand. Cardiovasc. J. Publication Date: 2000 Dec |
Date Detail:
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Created Date: 2001-02-13 Completed Date: 2001-04-19 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9708377 Medline TA: Scand Cardiovasc J Country: Norway |
Other Details:
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Languages: eng Pagination: 575-9 Citation Subset: IM |
Affiliation:
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Department of Medicine, Sahlgrenska University Hospital/Ostra, Göteborg, Sweden. gunnar.gunnarsson@sahlgrenska.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Bundle-Branch Block / complications*, drug therapy*, mortality Female Humans Male Middle Aged Myocardial Infarction / complications*, drug therapy*, mortality Prospective Studies Regression Analysis Thrombolytic Therapy* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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