Diagnosis of Occlusion Myocardial Infarction in Patients with Left Bundle Branch Block and Paced Rhythms

Author:

Khawaja MuzamilORCID,Thakker Janki,Kherallah Riyad,Ye Yumei,Smith Stephen W.,Birnbaum Yochai

Publisher

Springer Science and Business Media LLC

Subject

Cardiology and Cardiovascular Medicine

Reference45 articles.

1. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, et al. Fourth universal definition of myocardial infarction. Circulation. 2018; 138(20):e618-e651. https://doi.org/10.1161/CIR.0000000000000617.

2. Aslanger EK, Yildirimturk O, Simsek B, Bozbeyoglu E, Simsek MA, Yucel Karabay C, et al. DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction (DIFOCCULT Study). Int J Cardiol Heart Vasc. 2020;30(30): 100603. https://doi.org/10.1016/j.ijcha.2020.100603.

3. Pendell Meyers H, Bracey A, Lee D, Lichtenheld A, Li WJ, Singer DD, et al. Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction. Int J Cardiol Heart Vasc. 2021;33:100767. https://doi.org/10.1016/j.ijcha.2021.100767.

4. Brady WJ, Aufderheide TP. Left bundle branch block pattern complicating the electrocardiographic evaluation of acute myocardial infarction. Acad Emerg Med. 1997;4(1):56–62. https://doi.org/10.1111/j.1553-2712.1997.tb03644.x.

5. •Pera VK, Larson DM, Sharkey SW, Garberich RF, Solie CJ, Wang YL, et al. New or presumed new left bundle branch block in patients with suspected ST-elevation myocardial infarction. Eur Heart J Acute Cardiovasc Care. 2018;7(3): 208–217. https://doi.org/10.1177/2048872617691508. This study found that patients presenting with new LBBB and ischemic symptoms had fewer coronary culprit artery lesions than patients without new LBBB and higher all-cause mortality. Moreover, these patients were older, more commonly women, had a lower ejection fraction, and more often presented with cardiac arrest or heart failure than those without new LBBB.

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