Literature DB >> 26055601

Significance of an isolated new right bundle branch block in a patient with chest pain.

Geraldine Gilliot1, Pierre Monney2, Olivier Muller2, Olivier Hugli3.   

Abstract

Chest pain is a common presenting symptom in emergency departments, and a typical manifestation of acute myocardial infarction (AMI). Recognition of ECG changes in AMI is essential for timely diagnosis and treatment. Right bundle branch block (RBBB) may be an isolated sign of AMI, and was previously considered as a criterion for fibrinolytic therapy. Since the most recent European Society of Cardiology and American Heart Association guidelines in 2013, RBBB alone is no longer considered a diagnostic criterion of AMI, even if it occurs in the context of acute chest pain, as RBBB does not usually interfere with the interpretation of ST-segment alteration. Our case illustrates an acute septal myocardial infarction with an isolated RBBB, and thus the importance of recognising this pattern in order to permit timely diagnosis and treatment. 2015 BMJ Publishing Group Ltd.

Entities:  

Mesh：

Year:  2015        PMID： 26055601      PMCID： PMC4460395          DOI： 10.1136/bcr-2015-209435

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN： 1757-790X


  12 in total

1.  Clinical features of emergency electrocardiography in patients with acute myocardial infarction caused by left main trunk obstruction.

Authors:  Tomohisa Hirano; Kunihiko Tsuchiya; Kazuhiko Nishigaki; Kenji Sou; Tomoki Kubota; Shinsuke Ojio; Masanori Kawasaki; Shinya Minatoguchi; Hisayoshi Fujiwara; Katsumi Ueno; Hiroaki Hosokawa; Norihiko Morita; Toshihiko Nagano; Takahiko Suzuki; Sachirou Watanabe
Journal:  Circ J       Date:  2006-05       Impact factor: 2.993

Review 2.  Thrombotic occlusion of a large septal perforator presenting as ST-segment elevation in V1-V2 and treated with aspiration thrombectomy: a brief review of the literature.

Authors:  Todd A Dorfman; Jon R Resar
Journal:  J Invasive Cardiol       Date:  2011-01       Impact factor: 2.022

3.  Unusual cause of acquired RBBB.

Authors:  Himanshu Mahla; Shivakumar Bhairappa; Sunil Kumar Kr; Cholenahally Nanjappa Manjunath
Journal:  BMJ Case Rep       Date:  2013-08-09

4.  Right bundle-branch block in anterior acute myocardial infarction in the coronary intervention era: acute angiographic findings and prognosis.

Authors:  Satoshi Kurisu; Ichiro Inoue; Takuji Kawagoe; Masaharu Ishihara; Yuji Shimatani; Takaki Hata; Yasuharu Nakama; Yasufumi Kijima; Eisuke Kagawa
Journal:  Int J Cardiol       Date:  2006-07-03       Impact factor: 4.164

5.  ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation.

Authors:  Ph Gabriel Steg; Stefan K James; Dan Atar; Luigi P Badano; Carina Blömstrom-Lundqvist; Michael A Borger; Carlo Di Mario; Kenneth Dickstein; Gregory Ducrocq; Francisco Fernandez-Aviles; Anthony H Gershlick; Pantaleo Giannuzzi; Sigrun Halvorsen; Kurt Huber; Peter Juni; Adnan Kastrati; Juhani Knuuti; Mattie J Lenzen; Kenneth W Mahaffey; Marco Valgimigli; Arnoud van 't Hof; Petr Widimsky; Doron Zahger
Journal:  Eur Heart J       Date:  2012-08-24       Impact factor: 29.983

6.  2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.

Authors:  Patrick T O'Gara; Frederick G Kushner; Deborah D Ascheim; Donald E Casey; Mina K Chung; James A de Lemos; Steven M Ettinger; James C Fang; Francis M Fesmire; Barry A Franklin; Christopher B Granger; Harlan M Krumholz; Jane A Linderbaum; David A Morrow; L Kristin Newby; Joseph P Ornato; Narith Ou; Martha J Radford; Jacqueline E Tamis-Holland; Carl L Tommaso; Cynthia M Tracy; Y Joseph Woo; David X Zhao
Journal:  J Am Coll Cardiol       Date:  2012-12-17       Impact factor: 24.094

7.  Clinical policy: indications for reperfusion therapy in emergency department patients with suspected acute myocardial infarction. American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Reperfusion Therapy in Emergency Department Patients with Suspected Acute Myocardial Infarction.

Authors:  Francis M Fesmire; William J Brady; Sigrid Hahn; Wyatt W Decker; Deborah B Diercks; Chris A Ghaemmaghami; Devorah Nazarian; Andy S Jagoda
Journal:  Ann Emerg Med       Date:  2006-10       Impact factor: 5.721

8.  Prognostic implications of bundle branch block in patients undergoing primary coronary angioplasty in the stent era.

Authors:  David Vivas; María Jose Pérez-Vizcayno; Rosana Hernández-Antolín; Antonio Fernández-Ortiz; Camino Bañuelos; Javier Escaned; Pilar Jiménez-Quevedo; Jose Alberto De Agustín; Ivan Núñez-Gil; Juan Jose González-Ferrer; Carlos Macaya; Fernando Alfonso
Journal:  Am J Cardiol       Date:  2010-03-11       Impact factor: 2.778

9.  Right, but not left, bundle branch block is associated with large anteroseptal scar.

Authors:  David G Strauss; Zak Loring; Ronald H Selvester; Gary Gerstenblith; Gordon Tomaselli; Robert G Weiss; Galen S Wagner; Katherine C Wu
Journal:  J Am Coll Cardiol       Date:  2013-05-22       Impact factor: 24.094

10.  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?

Authors:  Petr Widimsky; Filip Rohác; Josef Stásek; Petr Kala; Richard Rokyta; Boyko Kuzmanov; Martin Jakl; Martin Poloczek; Jan Kanovsky; Ivo Bernat; Ota Hlinomaz; Jan Belohlávek; Ales Král; Vratislav Mrázek; Vladimir Grigorov; Slaveyko Djambazov; Robert Petr; Jiri Knot; Dana Bílková; Michaela Fischerová; Karel Vondrák; Marek Maly; Alena Lorencová
Journal:  Eur Heart J       Date:  2011-09-01       Impact factor: 29.983
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