In-hospital Outcome of Patients Presenting with Acute Anterior STEMI with Complete Right Bundle Branch Block

  • Sudhakar Sarker Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Abdul Wadud Chowdhury Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Khandker Md Nurus Sabah Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Md Gaffar Amin Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Mohammad Ali Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Bishnu Pada Saha Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Md Sajjadur Rahman Department of Cardiology, Dhaka Medical College Hospital, Dhaka
Keywords: Ischaemic heart disease, Myocardial infarction, ECG, Right bundle branch block

Abstract

Background: Patients with acute anterior ST-segment elevation myocardial infarction (STEMI) and right bundle-branch block (RBBB) have high mortality risk, which may be stratified by early ECG changes. Our objective was to find out and to compare in-hospital outcome of patients presenting with acute anterior STEMI with or without complete RBBB.

Methods: This prospective cohort study was conducted in the Department of Cardiology, Dhaka Medical College Hospital, Dhaka, over a period of one year from March 2016 to February 2017. A total of 184 patients were included in this study of which 32 patients were included in group A (acute anterior STEMI with complete RBBB) and 152 patients were included in group B (acute anterior STEMI without any BBB or fascicular block).

Results: RBBB was documented in 17.4% (32) of patients with acute anterior STEMI. Acute LVF (50.0% vs. 26.3%, p<0.05), Cardiogenic shock (31.3% vs. 13.2%, p<0.05) and mortality (21.9% vs 7.9%, P<0.05) were more frequently observed in patients with complete RBBB in comparison to patients without any BBB or fascicular block (FB). Among the AMI patients with RBBB, permanent RBBB was associated with a greater incidence of acute LVF (54.2% vs 37.5%, p>0.05), cardiogenic shock (37.5% vs 12.5%, p>0.05) and mortality (25% vs 12.5%, p>0.05).

Conclusion: In this study right bundle branch block accompanying acute anterior STEMI was associated with high in-hospital adverse outcomes.

Cardiovasc. j. 2018; 11(1): 31-38

Downloads

Download data is not yet available.
Abstract
648
PDF
409
Published
2018-09-14
How to Cite
Sarker, S., Chowdhury, A., Sabah, K., Amin, M. G., Ali, M., Saha, B., & Rahman, M. S. (2018). In-hospital Outcome of Patients Presenting with Acute Anterior STEMI with Complete Right Bundle Branch Block. Cardiovascular Journal, 11(1), 31-38. https://doi.org/10.3329/cardio.v11i1.38239
Section
Original Articles