| Title: |
Differential clinical characteristics and prognosis of intraventricular conduction defects in patients with chronic heart failure |
| Authors: |
Cinca, Juan; Mendez, Ana; Puig Reixach, Maria Teresa; Ferrero-Gregori, Andreu; Vazquez, Rafael; Gonzalez-Juanatey, Jose R.; Alonso-Pulpón, Luis; Delgado-Jiménez, Juan Francisco; Brugada, Josep; Pascual-Figal, DA.; Batlle, Montserrat; Berruezo, Antonio; Heviá, Sergio; Mont, Llús; Pérez-Villa, Félix; Roig, Eulàlia; Bayés de Luna, Antonio; Borrás Pérez, Xavier; Carreras Costa, Francesc; Guerra Ramos, José María; Madsen, Leif Hove; Jorge, Esther; Martínez Tomás, Raquel; Padró Fernández, Josep Maria; Ribas, N.; Viñolas, Xavier; Alvarez-Garcia, Jesus; González-Juanatey, José R.; Bandín, Manuel Angel; Eiras, Sonia; Fernández-Hernández, Lorena; Garcia Acuña, Jose M.; Gómez-Otero, Inés; Grigorian, Lilian; Lago, Francisca; Manzón, P.; Moure, María; Otero-Raviña, Fernando; Otero-Santiago, F.; Rodino Janeiro, Bruno Kotska; Rubio, José Antonio S.; Salgado, A.; Seoane, Ana; Varela, Alfonso; Lear, Pamela Virginia; Fernández-Cruz, Arturo; Alvarez de Arcaya Vicente, A.; Avila, Mario; Bordiú, Elena; Calle, L.; Fernández-Pinilla, Carmen; Gömez-Garre, Dulcenombre; González-Rubio, L.; Marco, J.; Martell-Claros, Nieves; Muñoz-Pacheco, Paloma; Ortega, Ana; Patiño, Ramón; Pedrajas, José Nicolas Alcalá; Reinares, Leandro; Pérez-Villacastín, Julián; Bover-Freire, Ramón; Cobos, Miguel Ángel; García-Quintanilla, Jorge; Moreno, Jesús Roberto Sáez; Pérez-Castellano, Nicasio; Pérez-Serrano, Mónica J.; Vila, I.; Delgado, J. F.; Arribas, Fernando; Escribano Subias, Pilar; Flox, Ángela; Jiménez López-Guarch, Carmen; Paradina, Marta; Ruiz-Cano, J.; Sáenz de la Calzada, Carlos; Salguero, Rafael; Sánchez-Sánchez, Violeta; Tello De Meneses, Rocío; Vicente-Hernández, M.; Fernández Lozano, Ignacio; García-Pavía, Pablo; García-Touchard, Arturo; Gómez-Bueno, Manuel; Márquez, J.; Segovia, Javier; Silva, Lorenzo; Vázquez-Mosquera, M.; Valdés Chávarri, Mariano D.; García-Alberola, Arcadi; Garrido Bravo, Iris; Pastor-Pérez, Francisco José; Sánchez-Más, Jesús; Tornel, Pedro Luis; Rivera, Miguel N.; Almenar Bonet, Luis; Cortes, R.; Martínez-Dolz, Luís V.; Montero, José Anastasio; Portolés, M.; Roselló-Lleti, Esther; Salvador, Antonio; Vila, Virtudes; Vázquez, Rafael; Cubero Marcos, José M.; Fernández-Palacín, Ana; García-Medina, Dolores; García-Rey, Silvia; Laguna, E.; Leal del Ojo, Juan D.; Miñano, F.; Pastor-Torres, Luis F.; Pavón, Ricardo; Pérez-Navarro, Ana María; Villagómez, David; Vázquez, R.; Arana-Granado, Roque; Bartolomé Mateos, Daniel; Cabeza, P.; Calle Pérez, Germán; Camacho, Francisco J.; Cano, Lucas; Carrillo, Andres; Díaz-Retamino, Enrique; Escolar, Vanessa; Fernández-Rivero, Rafael; Gamaza-Chulián, Sergio; Giráldes, A.; Hernández-Vicente, N.; Lagares, Manuel; López-Benítez, J.; Marante, M.; Otero, Enrique; Pedregal, J.; Sancho-Jaldón, Manuel; Sevillano, R.; Zayas, Ricardo; Verdú Rotellar, Jose María; Aguilar, S.; Aizpurúa, M.; Alguacil, F.; Casacuberta, Jose M.; Cerain, J.; Domingo, Mar; García-Lareo, M.; Herrero-Melechón, J.; López-Pareja, N.; Mena, A.; Pérez-Orcero, Almudena; Rodríguez- Cristóbal, Juan José; Rozas, M.; Sorribes, J.; Torán Monserrat, Pere; Worner Diz, Fernando; Barta, L.; Bravo Masgoret, Carles; Rodés-Cabeau, Josep; Casanova Sandoval, Juan; Daga, B.; De la Puerta, I.; Hernández-Martín, I.; Piñol, Elisabet Samsó; Pueo, Eva; Torres, G.; Troncoso, A.; Viles, Dolors; Bardají, Alfredo; Mercè, Jordi; Sanz-Girgas, Esther; Valdovinos, Pilar; Aramburu, Oscar; Arias, J. C.; García-González, Coral; Alonso, Mariá Isabel; Bischofberger, C.; Domínguez-De Pablos, Gema; Jiménez-Cervantes, D.; Ureña, Isabel; Grau-Sepúlveda, Andrés; Fiol, C.; Pericàs, Pere; Villalonga, Maria; Orosa, Plácido; Agüero, Jaume; Planas-Aymá, Francesc; Grau-Amoros, Jordi; Planas-Comes, F.; San Vicente, Ludmila; Universitat Autònoma de Barcelona |
| Publication Year: |
2013 |
| Collection: |
Universitat Autònoma de Barcelona: Dipòsit Digital de Documents de la UAB |
| Subject Terms: |
Heart failure; Bundle branch block; Outcomes; Prognosis |
| Description: |
Intraventricular conduction defects (IVCDs) can impair prognosis of heart failure (HF), but their specific impact is not well established. This study aimed to analyse the clinical profile and outcomes of HF patients with LBBB, right bundle branch block (RBBB), left anterior fascicular block (LAFB), and no IVCDs. Clinical variables and outcomes after a median follow-up of 21 months were analysed in 1762 patients with chronic HF and LBBB (n = 532), RBBB (n = 134), LAFB (n = 154), and no IVCDs (n = 942). LBBB was associated with more marked LV dilation, depressed LVEF, and mitral valve regurgitation. Patients with RBBB presented overt signs of congestive HF and depressed right ventricular motion. The LAFB group presented intermediate clinical characteristics, and patients with no IVCDs were more often women with less enlarged left ventricles and less depressed LVEF. Death occurred in 332 patients (interannual mortality = 10.8%): cardiovascular in 257, extravascular in 61, and of unknown origin in 14 patients. Cardiac death occurred in 230 (pump failure in 171 and sudden death in 59). An adjusted Cox model showed higher risk of cardiac death and pump failure death in the LBBB and RBBB than in the LAFB and the no IVCD groups. LBBB and RBBB are associated with different clinical profiles and both are independent predictors of increased risk of cardiac death in patients with HF. A more favourable prognosis was observed in patients with LAFB and in those free of IVCDs. Further research in HF patients with RBBB is warranted. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
18790844 |
| Relation: |
Instituto de Salud Carlos III RD06/0003; European Journal of Heart Failure; Vol. 15 (march 2013), p. 877-884; https://ddd.uab.cat/record/184912; urn:10.1093/eurjhf/hft042; urn:oai:ddd.uab.cat:184912; urn:pmid:23512097; urn:pmcid:PMC3721573; urn:articleid:18790844v15p877; urn:scopus_id:84880984252; urn:oai:pubmedcentral.nih.gov:3721573 |
| Availability: |
https://ddd.uab.cat/record/184912 |
| Rights: |
open access ; Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. ; https://creativecommons.org/licenses/by-nc/3.0/ |
| Accession Number: |
edsbas.1F61C23 |
| Database: |
BASE |