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Primary angioplasty in acute myocardial infarction with right bundle branch block: should new onset right bundle branch block be added to future guidelines as an indication for reperfusion therapy?

2011; Oxford University Press; Volume: 33; Issue: 1 Linguagem: Inglês

10.1093/eurheartj/ehr291

1522-9645

Petr Widimský, Filip Roháč, Josef Šťásek, Petr Kala, Richard Rokyta, B. Kuzmanov, Martin Jakl, Martin Poloczek, Jan Kaňovský, Ivo Bernát, Ota Hlinomaz, Jan Bělohlávek, Aleš Král, Vratislav Mrázek, V. Grigorov, S. Djambazov, Róbert Petr, Jiří Knot, Dana Bilkova, M. Fischerova, Karel Vondrák, Marek Malý, Alena Lorencová,

Cardiac Imaging and Diagnostics

AimsThe current guidelines recommend reperfusion therapy in acute myocardial infarction (AMI) with ST-segment elevation or left bundle branch block (LBBB). Surprisingly, the right bundle branch block (RBBB) is not listed as an indication for reperfusion therapy. This study analysed patients with AMI presenting with RBBB [with or without left anterior hemiblock (LAH) or left posterior hemiblock (LPH)] and compared them with those presenting with LBBB or with other electrocardiographic (ECG) patterns. The aim was to describe angiographic patterns and primary angioplasty use in AMI patients with RBBB.