In-Hospital Outcomes of Patients Presenting with Acute Anterior STEMI with Right Bundle Branch Block

Objective: To assess the in-hospital outcomes in Anterior wall ST Elevation Myocardial Infarction patients presenting with Right Bundle Branch Block different reperfusion strategies.
 Study Design: Analytical Cross-Sectional Study.
 Place and Duration of Study: Department Cardiology, Rawalpindi Institute Pakistan, from Sep 2020 to Feb 2021.
 Methodology: Patients myocardial infarction who presented emergency department hospital were included study. Further evaluation was performed on individuals elevation anterior chest leads new-onset or presumably new bundle branch block electrocardiogram. diagnosed based 4th universal definition infarction. excluded those non-anterior ST-elevation infarction, prior coronary artery bypass grafting, previous percutaneous intervention, Left block.The treatment plan chosen by interventional cardiologist. Various parameters used measure ofdifferent therapies.
 Results: 93 72(77.4%) males 21 females (22.5%). Mean age 59.91±11.93 years. Premorbid seen 41.9% diabetes, 32.3% hypertension, 18.3% smoking. Transient RBBB 64.5% study population persistence 35.5%. Mortality associated higher Killip class (p=<0.001), AV (p=0.078), increased no vessels involved (p=0.014), amplitude (p=0.083) lower EF values (p=0.032). Worst common medical treatment.
 Conclusion: Poor Wall are linked length ofstay, co morbidities, class, elevation, disease complexity managed medicaltreatment.