The ‘qRBBB myocardial infarction’: Unwrapping an old enigma

IF 1.4 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Indian heart journal Pub Date : 2024-01-01 DOI:10.1016/j.ihj.2024.01.005
Charan P. Lanjewar, Bhavik S. Shah, Girish R. Sabnis, Achal Sharma, Dhiraj Kumar
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Abstract

This single-center, prospective, observational study was conducted at a tertiary-care center over a span of two years. Patients presenting with acute Anterior-Wall STEMI were included as a study population. The subgroups included qRBBB pattern on ECG and non-qRBBB group. Among 1128 patients included in the study, 100 (11.28 %) patients presented with qRBBB pattern. Increased risk of cardiogenic shock, increased hospital-stay, a higher Killip class on presentation, high incidence of recanalized IRA, remarkably depressed LVEF were significantly associated with qRBBB-MI, which is a menacing form of ACS that leads not only to a high mortality but also to a long-term morbidity.

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qRBBB心肌梗死":揭开一个古老的谜团
这项单中心、前瞻性、观察性研究在一家三级医疗中心进行,历时两年。研究对象包括急性前壁 STEMI 患者。亚组包括心电图上的 qRBBB 模式和非 qRBBB 组。在纳入研究的 1128 名患者中,有 100 名(11.28%)患者出现了 qRBBB 模式。qRBBB-MI与心源性休克风险增加、住院时间延长、发病时Killip分级较高、IRA再通发生率高、LVEF明显降低有显著相关性。
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来源期刊
Indian heart journal
Indian heart journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.60
自引率
6.70%
发文量
82
审稿时长
52 days
期刊介绍: Indian Heart Journal (IHJ) is the official peer-reviewed open access journal of Cardiological Society of India and accepts articles for publication from across the globe. The journal aims to promote high quality research and serve as a platform for dissemination of scientific information in cardiology with particular focus on South Asia. The journal aims to publish cutting edge research in the field of clinical as well as non-clinical cardiology - including cardiovascular medicine and surgery. Some of the topics covered are Heart Failure, Coronary Artery Disease, Hypertension, Interventional Cardiology, Cardiac Surgery, Valvular Heart Disease, Pulmonary Hypertension and Infective Endocarditis. IHJ open access invites original research articles, research briefs, perspective, case reports, case vignette, cardiovascular images, cardiovascular graphics, research letters, correspondence, reader forum, and interesting photographs, for publication. IHJ open access also publishes theme-based special issues and abstracts of papers presented at the annual conference of the Cardiological Society of India.
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