Prognostic impact of bundle branch blocks in patients with ST-segment elevation myocardial infarction
dc.authorid | Erdem Türkyılmaz / 0000-0002-8333-7199 | |
dc.authorscopusid | Erdem Türkyılmaz / 13004029500 | |
dc.authorwosid | Erdem Türkyılmaz / EBF-5567-2022 | |
dc.contributor.author | Özkalaycı, Flora | |
dc.contributor.author | Türkyılmaz, Erdem | |
dc.contributor.author | Altıntaş, Bernas | |
dc.contributor.author | Akbal, Özgür Yaşar | |
dc.contributor.author | Karagöz, Ali | |
dc.contributor.author | Karabay, Can Yücel | |
dc.contributor.author | Tanboğa, İbrahim Halil | |
dc.contributor.author | Oduncu, Vecih | |
dc.date.accessioned | 2020-08-30T20:06:12Z | |
dc.date.available | 2020-08-30T20:06:12Z | |
dc.date.issued | 2020 | |
dc.department | İstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü | en_US |
dc.description.abstract | Background: In this study we aim to determine and compare short term outcomes of all type bundle branch blocks (BBB) according to their onset time among those patients presented with ST-Segment elevation myocardial infarction (STEMI) and underwent primary percutaneous coronary intervention (pPCI). Method: Three thousand fifty-seven ST-segment elevation myocardial infarction patients who underwent pPCI were retrospectively evaluated. Those patients with BBB in their ECG on admission were re-evaluated for their prior ECG records. A composite of death, recurrent myocardial infarction (re-MI) and stroke in one moth follow up were defined as major adverse cardiovascular events (MACE). Results: Three thousand fifty-seven STEMI patients underwent pPCI were enrolled to the study. Among these patients 134 (4.4%) had LBBB, and 120 (3.9%) had RBBB. Bundle brunch block was classified according to the timing of their onset as follows; New or Presumably New BBB, Old BBB, Indeterminate Onset BBB. At one month, 4.8% of the patients died, 2.6% had re-MI/stent thrombosis, 0.5% had stroke. MACE occurred in 7.6% of patients. Left ventricle ejection fraction, BBB, estimated glomerular filtration rate (eGFR), shock and age were ranked as the strongest predictors of MACE. Compared to non-BBB, all BBBs except for old RBBB was found to be associated with increased MACE. New onset LBBB was the strongest predictor (OR:13.1, 95%CI:3.98-43.4, p < .001) at one month MACE. Conclusion: Compared to non-BBB, all BBBs except for old RBBB was found to be associated with increased MACE. New onset LBBB was the strongest predictor for MACE at one month. | en_US |
dc.identifier.citation | Ozkalayci, F., Turkyilmaz, E., Altıntaş, B., Akbal, O. Y., Karagoz, A., Karabay, C. Y., ... & Oduncu, V. (2020). Prognostic impact of bundle branch blocks in patients with ST-segment elevation myocardial infarction. Acta Cardiologica, 1-6. | en_US |
dc.identifier.doi | 10.1080/00015385.2020.1747179 | en_US |
dc.identifier.issn | 0001-5385 | en_US |
dc.identifier.issn | 1784-973X | en_US |
dc.identifier.pmid | 32284031 | en_US |
dc.identifier.scopus | 2-s2.0-85083551982 | en_US |
dc.identifier.scopusquality | Q3 | en_US |
dc.identifier.uri | https://doi.org/10.1080/00015385.2020.1747179 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12713/422 | |
dc.identifier.wos | WOS:000526505000001 | en_US |
dc.identifier.wosquality | Q4 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.institutionauthor | Türkyılmaz, Erdem | en_US |
dc.language.iso | en | en_US |
dc.publisher | Taylor & Francis Ltd | en_US |
dc.relation.ispartof | Acta Cardiologica | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Bundle Branch Block | en_US |
dc.subject | St-Elevation Myocardial Infarction | en_US |
dc.subject | Primary Percutaneous Coronary Intervention | en_US |
dc.title | Prognostic impact of bundle branch blocks in patients with ST-segment elevation myocardial infarction | en_US |
dc.type | Article | en_US |
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