Your browser doesn't support javascript.
loading
Clinical impact of baseline right bundle branch block in patients undergoing transcatheter aortic valve replacement
Auffret, Vincent; Webb, John G; Eltchaninoff, Hélène; Muñoz-García, Antonio J; Himbert, Dominique; Tamburino, Corrado; Nombela-Franco, Luis; Nietlispach, Fabian; Morís, César; Rue, Marc; Dager, Antonio E; Serra, Vicenç; Cheema, Asim N; Amat-Santos, Ignacio J; Brito Junior, Fábio Sandoli de; Lemos, Pedro Alves; Abizaid, Alexandre; Sarmento-Leite, Rogério; Dumont, Eric; Barbanti, Marco; Durand, Eric; Alonso Briales, Juan H; Vahanian, Alec; Bouleti, Claire; Immè, Sebastiano; Maisano, Francesco; del Valle, Raquel; Benitez, Luis Miguel; del Blanco, Bruno García; Puri, Rishi; Philippon, François; Urena, Marina; Rodés-Cabau, Josep.
Afiliação
  • Auffret, Vincent; Quebec Heart & Lung Institute. Quebec. CA
  • Webb, John G; St-Paul's Hospital. British Columbia. CA
  • Eltchaninoff, Hélène; Hôpital Charles Nicolle. Rouen. FR
  • Muñoz-García, Antonio J; Hospital Clinico Universitario Virgen de la Victoria. Málaga. ES
  • Himbert, Dominique; Assistance Publique-Hôpitaux de Paris. Paris. FR
  • Tamburino, Corrado; Ospedale Ferrarotto. Catania. IT
  • Nombela-Franco, Luis; Hospital Universitario Clínico San Carlos. Madrid. ES
  • Nietlispach, Fabian; University Hospital of Zurich. Zurich. CH
  • Morís, César; Hospital Universitario Central de Asturias. Oviedo. ES
  • Rue, Marc; University of Ottawa Heart Institute. Ontario. CA
  • Dager, Antonio E; Clìnica de Occidente de Cali. Valle del Cauca. CO
  • Serra, Vicenç; Hospital Universitari Vall d'Hebron. Barcelona. ES
  • Cheema, Asim N; St-Michael's Hospital. Ontario. CA
  • Amat-Santos, Ignacio J; Hospital Clínico Universitario de Valladolid. Valladolid. ES
  • Brito Junior, Fábio Sandoli de; Hospital Israelita Albert Einstein. São Paulo. BR
  • Lemos, Pedro Alves; Instituto do Coração. São Paulo. BR
  • Abizaid, Alexandre; Instituto Dante Pazzanese de Cardiologia. São Paulo. BR
  • Sarmento-Leite, Rogério; Instituto de Cardiologia do Rio Grande do Sul. Porto Alegre. BR
  • Dumont, Eric; Quebec Heart & Lung Institute. Quebec. CA
  • Barbanti, Marco; St-Paul's Hospital. Catania. IT
  • Durand, Eric; Hôpital Charles Nicolle. Rouen. FR
  • Alonso Briales, Juan H; Hospital Clinico Universitario Virgen de la Victoria. Málaga. ES
  • Vahanian, Alec; Assistance Publique-Hôpitaux de Paris. Paris. FR
  • Bouleti, Claire; Assistance Publique-Hôpitaux de Paris. Paris. FR
  • Immè, Sebastiano; Ospedale Ferrarotto. Catania. IT
  • Maisano, Francesco; University Hospital of Zurich. Zurich. CH
  • del Valle, Raquel; Hospital Universitario Central de Asturias. Oviedo. ES
  • Benitez, Luis Miguel; Assistance Publique-Hôpitaux de Paris. Paris. FR
  • del Blanco, Bruno García; Hospital Universitari Vall d'Hebron. Barcelona. ES
  • Puri, Rishi; Quebec Heart & Lung Institute. Quebec. CA
  • Philippon, François; Quebec Heart & Lung Institute. Quebec. CA
  • Urena, Marina; Assistance Publique-Hôpitaux de Paris. Paris. FR
  • Rodés-Cabau, Josep; Quebec Heart & Lung Institute. Quebec. CA
JACC cardiovasc. interv ; 10(15): 1564-1574, 2017. tab, graf
Article em En | SES-SP, SESSP-IDPCPROD, SES-SP | ID: biblio-1064046
Biblioteca responsável: BR79.1
Localização: BR79.1
ABSTRACT
This study sought to assess the influence of baseline right bundle branch block (RBBB) on all-cause and cardiovascular mortality as well as sudden cardiac death (SCD) among patients undergoing transcatheter aortic valve replacement (TAVR). Few data exist regarding the late clinical impact of pre-existing RBBB in TAVR recipients. A total of 3,527 patients (mean age 82 8 years, 50.1% men) were evaluated according to the presence of RBBB on baseline electrocardiography. Intraventricular conduction abnormalities were classified according to the American Heart Association, American College of Cardiology Foundation, and Heart Rhythm Society recommendations for standardization and interpretation of the electrocardiogram. TAVR complications and causes of death were defined according to Valve Academic Research Consortium 2 definitions. RBBB was present on baseline electrocardiography in 362 patients (10.3%) and associated with higher 30-day rates of permanent pacemaker implantation (PPI) (40.1% vs. 13.5%; p < 0.001) and death (10.2% vs. 6.9%; p » 0.024). At a mean follow-up of 20 18 months, pre-existing RBBB was independently associated with all-cause mortality (hazard ratio [HR] 1.31; 95% confidence interval [CI] 1.06 to 1.63; p » 0.014) and cardiovascular mortality (HR 1.45; 95% CI 1.11 to 1.89; p » 0.006) but not with SCD (HR 0.71; 95% CI 0.22 to 2.32; p » 0.57). Patients with pre-existing RBBB and without PPI at discharge from the index hospitalization had the highest 2-year risk for cardiovascular death (27.8%; 95% CI 20.9% to 36.1%; log-rank p » 0.007). In a subanalysis of 1,245 patients without PPI at discharge from the index hospitalization and with complete follow-up regarding the need for PPI, pre-existing RBBB was independently associated with the composite of SCD and PPI (HR 2.68; 95% CI 1.16 to 6.17; p » 0.023)
Assuntos

Texto completo: 1 Coleção SES: Producao_cientifica Base de dados: SES-SP / SESSP-IDPCPROD Assunto principal: Bloqueio de Ramo / Morte Súbita Cardíaca / Implante de Prótese de Valva Cardíaca Tipo de estudo: Guideline Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleção SES: Producao_cientifica Base de dados: SES-SP / SESSP-IDPCPROD Assunto principal: Bloqueio de Ramo / Morte Súbita Cardíaca / Implante de Prótese de Valva Cardíaca Tipo de estudo: Guideline Idioma: En Ano de publicação: 2017 Tipo de documento: Article