A STUDY OF PROGNOSTIC SIGNIFICANCE OF BUNDLE BRANCH BLOCK IN ACUTE CORONARY SYNDROMES

*Dr. Pratibha Lakshmi and Dr. Md. Anfas Nusrat Pasha

ABSTRACT

To assess the prognostic significance of Bundle Branch Block (BBB) in patients with ACS depending its forms off presentation. Total number of patients were 150. All the patients in the study were hospitalized. Total number of patient included in the study were 150. Variables that were analysed in the study were gender, age, Killip's class, arrhythmias, complete heart block, MI location, systolic LV dysfunction, diastolic LV dysfunction, thrombolysis, Heart failure, cardiac arrest, death in hospital and death at the end of one month. Risk factors like DM, HTN, dyslipidemia, smoking, previous history of MI. Blood pressure, previous history of PTCA, CABG, Mechanical complication like VSR., These variables were compared with patients having ACS with new onset BBB and without BBB. Patients with bifascicular block are more prone to complete heart block, heart failure and cardiogenic shock.

Keywords: Acute Coronary Syndromes, Acute Myocaridal Infarction, Acute Bundle Branch Block, Bundle Branch Block, Coronary Artery Disease, Left Bundle Branch Block.