Document Detail


Long-term survival of patients with incomplete bundle-branch block complicating acute myocardial infarction.
MedLine Citation:
PMID:  1191453     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Electrocardiograms and His bundle electrograms were reviewed in 28 patients with incomplete bilateral bundle-branch block complicating acute myocardial infarction. All had a His bundle electrogram at the time of pacemaker insertion; 10 had a second one. Of 23 patients with an initially abnormal HV interval (55 ms or greater), 15 died (65%), while only one died (20%) in the group of 5 with a normal HV interval. This difference is not statistically significant. Sequential His bundle electrograms were done in 6 of the 8 survivors with an initially abnormal HV interval, and 4 showed 10 to 15 ms decrease in HV interval. The disappearance of incomplete bilateral bundle-branch block occurred significantly more often in patients who survived (7 of 12) when compared with those who did not survive (2 of 16) (P less than 0.05). It is concluded that long-term survival is po-sible after incomplete bilateral bundle-branch block complicating acute myocardial infarction. The characteristics of the survivors include an initially normal HV interval, transient incomplete belateral bundle-branch block and a decreasing HV interval if it were initially abnormal.
Authors:
E Lichstein; P K Gupta; K D Chadda
Related Documents :
16101633 - Mechanisms for the maintenance of ventricular fibrillation: the nonuniform dispersion o...
15372433 - Transitions in ventricular activation revealed by two-dimensional optical mapping.
21247593 - Influence of patient gender on mortality after aortic valve replacement for aortic sten...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  37     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1975 Sep 
Date Detail:
Created Date:  1976-02-13     Completed Date:  1976-02-13     Revised Date:  2010-09-07    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  924-30     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Bundle-Branch Block / complications*,  mortality,  therapy
Female
Humans
Male
Middle Aged
Myocardial Infarction / complications*
Pacemaker, Artificial
Prognosis
Time Factors
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  RR interval variations in young male diabetics.
Next Document:  Surgical implications of right aortic arch with isolation of left subclavian artery.