American Journal of Cardiology
Volume 105, Issue 5 , Pages 677-680 , 1 March 2010

Prevalence and Prognostic Significance of Exercise-Induced Right Bundle Branch Block

  • Ricardo Stein, MD

      Affiliations

    • Exercise Pathophysiology Research Laboratory, Cardiology Division, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
    • Veteran Affairs Palo Alto Health Care System and Stanford University School of Medicine, Palo Alto, California
    • ,
  • Patricia Nguyen, MD

      Affiliations

    • Veteran Affairs Palo Alto Health Care System and Stanford University School of Medicine, Palo Alto, California
    • Corresponding Author InformationCorresponding author: Tel: (650) 815-8151; fax: (650) 852-3473
    • ,
  • Joshua Abella, MD

      Affiliations

    • Veteran Affairs Palo Alto Health Care System and Stanford University School of Medicine, Palo Alto, California
    • ,
  • Harold Olson, MD

      Affiliations

    • Veteran Affairs Long Beach Health Care System, San Diego, California
    • ,
  • Jonathan Myers, PhD

      Affiliations

    • Veteran Affairs Palo Alto Health Care System and Stanford University School of Medicine, Palo Alto, California
    • ,
  • Victor Froelicher, MD

      Affiliations

    • Veteran Affairs Palo Alto Health Care System and Stanford University School of Medicine, Palo Alto, California

Received 10 August 2009 ,Revised 25 October 2009 ,Accepted 25 October 2009.

References 

  1. Schneider JF, Thomas HE, Kreger BE, McNamara PM, Sorlie P, Kannell WB. Newly acquired left bundle branch block: the Framingham Study. Ann Intern Med. 1980;92:37–44
  2. Vasey C, O'Donnell J, Morris S, McHenry P. Exercise-induced left bundle branch block and its relation to coronary artery disease. Am J Cardiol. 1985;56:892–895
  3. Moran JF, Scurlock B, Henkin R, Scanlon PJ. The clinical significance of exercise- induced bundle branch block. J Electrocardiol. 1992;25:229–235
  4. Grady TA, Chiu AC, Snader CE, Marwick TH, Thomas JD, Pashkow FJ, et al. Prognostic significance of exercise-induced left bundle-branch block. JAMA. 1998;279:153–156
  5. Bounhoure JP, Donzeau JP, Doazan JP, Queyreau M, Galinier M, Estrabaud M, et al. Blocs de branche complets et cours des épreuves d'effort. Arch Mal Cœur. 1991;84:167–171
  6. Williams MA, Esterbrooks DJ, Nair CK, Sailors MM, Sketch MH. Clinical significance of exercise-induced bundle branch block. Am J Cardiol. 1988;61:346–348
  7. Myers J, Buchanan N, Walsh D, Kramer M, McAuley P, Hamilton-Wessler M, et al. Comparison of the ramp versus standard exercise protocols. J Am Coll Cardiol. 1991;17:1334–1342
  8. Neuss H, Thormann J, Schlepper M. Electrophysiological findings in frequency-dependent left bundle branch block. Br Heart J. 1974;36:888–893
  9. Kafka H, Burgraf G. Exercise-induced left bundle branch block without myocardial ischemia. Am J Cardiol. 1984;54:676–677
  10. Virtanen K, Heikkila J, Kala R, Siltanen P. Chest pain and rate dependent left bundle branch block in patients with normal coronary arteriograms. Chest. 1982;81:325–331
  11. Boran KJ, Oliveros RA, Boulher CA, Beckmann CH, Seaworth JF. Ischemia-associated intraventricular conduction disturbances during exercise testing as a predictor of proximal left anterior descending coronary artery disease. Am J Cardiol. 1983;51:1098–1101
  12. Chang JA, Froelicher VF. Clinical and exercise test markers of prognosis in patients with stable coronary artery disease. Curr Probl Cardiol. 1994;19:533–537
  13. Wayne VS, Bishop RL, Cook L, Spodick DH. Exercise-induced bundle branch block. Am J Cardiol. 1983;52:283–287

 This study was supported by a grant from CNPq (Brasília, Brazil).

PII: S0002-9149(09)02593-4

doi: 10.1016/j.amjcard.2009.10.050

American Journal of Cardiology
Volume 105, Issue 5 , Pages 677-680 , 1 March 2010

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