Document Detail


The significance and prognosis of chronic bifascicular block.
MedLine Citation:
PMID:  837746     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical course of 303 patients with bifascicular block was reviewed. Initially, 62% of the total group had evidence of heart disease. The highest frequency of heart disease was in patients with left bundle-branch block and first-degree atrioventricular block (78% or 22/28), while the lowest was in those with right bundle-branch block and left axis deviation (56% or 55/98). During the subsequent clinical course the occurrence of cardiovascular morbidity was greatest in patients who had left bundle-branch block and heart disease (55% or 49/89). Complete heart block occurred in only 11 patients. The highest incidence of complete heart block occurred in right bundle-branch block and left axis deviation when associated with heart disease, but the annual rate was only 4%/yr. Mortality was highest in those with left bundle-branch block, first-degree atrioventricular block, and left axis deviation (43%/yr). A one-year mortality of 65% (11/17) was noted for patients who had bifascicular block prior to the time of acute myocardial infarction.
Authors:
T A Wiberg; H G Richman; F L Gobel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chest     Volume:  71     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1977 Mar 
Date Detail:
Created Date:  1977-04-28     Completed Date:  1977-04-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  329-34     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Bundle-Branch Block / diagnosis*,  mortality
Follow-Up Studies
Heart Block / diagnosis*,  mortality
Humans
Myocardial Infarction / complications
Prognosis

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


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