Prognostic value of exercise stress echocardiography in patients with left bundle branch block.

نویسندگان

  • Francis de Lima Vasconcelos
  • Bruno Fernandes de Oliveira Santos
  • Nathalie de Oliveira Santana
  • Gustavo Baptista de Almeida Faro
  • Romerito de Oliveira Rocha
  • Vinício Vieira Leal
  • José Augusto Barreto-Filho
  • Antônio Carlos Sobral Sousa
  • Joselina Luzia Menezes Oliveira
چکیده

BACKGROUND The literature lacks studies about the prognostic value of exercise stress echocardiography (ESE) in patients with complete left bundle branch block (LBBB) of the bundle of His. OBJECTIVE To assess the prognostic value of ESE in patients with LBBB. METHODS This is a retrospective cohort that evaluated 135 patients with LBBB, from January 2001 to October 2009, of which 37.8% were men, mean age 63.6 ± 11.5 years submitted to ESE according to Bruce protocol on a treadmill. Cox regression was used, considering these outcomes: death from all causes and from cardiac events, defined as acute myocardial infarction (AMI), percutaneous angioplasty (PA), coronary artery bypass grafting (CABG) and death from cardiac causes. RESULTS Positive ESE was observed in 42 patients (31%). The mean follow-up was 45.8 ± 4.7 months. During this period, there were 9 deaths from all causes and 9 cardiac events (3 deaths from cardiac causes, 3 myocardial infarctions, 2 PA and one CABG). The mortality rate from all causes during five years was 16.1% in the group with positive ESE and 2.5% in the group with negative test (p = 0.171), whereas the rate of cardiac events in the same period was 15.1% for the positive ESE and 1.6% in the group with negative test (p = 0.009). CONCLUSION ESE showed to be a predictor of cardiac events in patients with LBBB.

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عنوان ژورنال:
  • Arquivos brasileiros de cardiologia

دوره 97 6  شماره 

صفحات  -

تاریخ انتشار 2011