• Am J Emerg Med · Nov 2009

    Review

    Right bundle-branch block in acute coronary syndrome: diagnostic and therapeutic implications for the emergency physician.

    • Cheryl Lynn Horton and William J Brady.
    • Department of Emergency Medicine, University of Virginia, Charlottesville, VA 22908, USA.
    • Am J Emerg Med. 2009 Nov 1;27(9):1130-41.

    AbstractRight bundle-branch block (RBBB) in the patient with acute coronary syndrome is a marker of significant potential cardiovascular risk; the RBBB pattern in the patient with acute coronary syndrome identifies a subgroup of patients with quite high short- and long-term morbidity and mortality. Right bundle-branch block is not an uncommon finding on an electrocardiogram in the emergency department patient, noted incidentally and thus without clinical import or, conversely, encountered in the early phase of significant cardiovascular dysfunction. This review will address RBBB in the acute coronary syndrome setting.

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