Document Detail

Bundle branch block in acute myocardial infarction.
MedLine Citation:
PMID:  6846118     Owner:  NLM     Status:  MEDLINE    
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 these 47 patients was reviewed. There are no established therapeutic guidelines for patients with pre-existing bundle branch block and left bundle branch block in acute myocardial infarction. We found a high risk of progression in patients with pre-existing bifascicular block in the presence of anterior wall infarction (25%) as well as in patients with left bundle branch block with acute anterior wall infarction (100%). On the basis of our data and careful review of the literature, we recommend prophylactic pacemaker insertion in these high-risk groups.
G Hollander; V Nadiminti; E Lichstein; A Greengart; M Sanders
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  105     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1983 May 
Date Detail:
Created Date:  1983-06-10     Completed Date:  1983-06-10     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  738-43     Citation Subset:  AIM; IM    
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MeSH Terms
Bundle-Branch Block / complications*
Coronary Circulation
Heart Block / prevention & control
Heart Conduction System / physiopathology
Myocardial Infarction / complications*
Pacemaker, Artificial

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