Prognostic impact of bundle branch blocks in patients with ST-segment elevation myocardial infarction

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dc.authoridErdem Türkyılmaz / 0000-0002-8333-7199
dc.authorscopusidErdem Türkyılmaz / 13004029500
dc.authorwosidErdem Türkyılmaz / EBF-5567-2022
dc.contributor.authorÖzkalaycı, Flora
dc.contributor.authorTürkyılmaz, Erdem
dc.contributor.authorAltıntaş, Bernas
dc.contributor.authorAkbal, Özgür Yaşar
dc.contributor.authorKaragöz, Ali
dc.contributor.authorKarabay, Can Yücel
dc.contributor.authorTanboğa, İbrahim Halil
dc.contributor.authorOduncu, Vecih
dc.date.accessioned2020-08-30T20:06:12Z
dc.date.available2020-08-30T20:06:12Z
dc.date.issued2020
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: 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.citationOzkalayci, 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.doi10.1080/00015385.2020.1747179en_US
dc.identifier.issn0001-5385en_US
dc.identifier.issn1784-973Xen_US
dc.identifier.pmid32284031en_US
dc.identifier.scopus2-s2.0-85083551982en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.urihttps://doi.org/10.1080/00015385.2020.1747179
dc.identifier.urihttps://hdl.handle.net/20.500.12713/422
dc.identifier.wosWOS:000526505000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTürkyılmaz, Erdemen_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofActa Cardiologicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBundle Branch Blocken_US
dc.subjectSt-Elevation Myocardial Infarctionen_US
dc.subjectPrimary Percutaneous Coronary Interventionen_US
dc.titlePrognostic impact of bundle branch blocks in patients with ST-segment elevation myocardial infarctionen_US
dc.typeArticleen_US

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