258 649

Cited 0 times in

Clinical implication of right bundle branch block in hospitalized patients with acute heart failure : data from the Korean Heart Failure (KorHF) registry

DC Field Value Language
dc.contributor.author홍성진-
dc.date.accessioned2015-12-24T08:51:37Z-
dc.date.available2015-12-24T08:51:37Z-
dc.date.issued2012-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/134390-
dc.descriptionDept. of Medicine/석사-
dc.description.abstractBackground:Conflicting data exist regarding the predictive value of bundle branch block (BBB) patterns for mortality in hospitalized patients with acute heart failure (AHF).Methods:Two thousand two hundred and two patients enrolled in the Korean Heart Failure (KorHF) Registry were analyzed to compare clinical outcomes among right BBB (RBBB, 5.4%), left BBB (LBBB, 4.9%), and no BBB (89.7%) on admission electrocardiogram. The primary composite endpoint was all-cause mortality or rehospitalization. The primary composite endpoint was all-cause mortality or rehospitalization.Results:During the median follow-up period of 572 days, the 3-year event rate of the composite endpoint was significantly higher in the patients with RBBB compared to those with LBBB or no BBB (65.1% vs. 49.9% vs. 49.3%, log-rank, p=0.004). Multivariate analysis demonstrated an increased risk of the composite endpoint for the patients with RBBB vs. LBBB (hazard ratio (HR)=2.57, p=0.001) and the patients with RBBB vs. no BBB (HR=1.91, p<0.001). In the reduced left ventricular ejection fraction (LVEF  40%), the risk of the composite endpoint was increased in the patients with RBBB vs. LBBB (for overall from HR 1.61, p=0.002 to HR=2.28, p=0.001).Conclusion: RBBB but not LBBB is a significant predictor of all-cause mortality or rehospitalization in hospitalized patients with AHF, especially with reduced LV systolic function.-
dc.description.statementOfResponsibilityopen-
dc.publisherGraduate School, Yonsei University-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleClinical implication of right bundle branch block in hospitalized patients with acute heart failure : data from the Korean Heart Failure (KorHF) registry-
dc.title.alternative한국 심부전 등록 사업 자료를 이용한 급성 심부전으로 입원한 환자에서 우각차단이 갖는 임상적 의의-
dc.typeThesis-
dc.contributor.alternativeNameHong, Sung Jin-
dc.type.localThesis-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 2. Thesis

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.