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European Heart Journal 1989 10(9):816-820;
Copyright © 1989 by the European Society of Cardiology.
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© 1989 The European Society of Cardiology

Long-term prognostic significance of atrioventricular block in inferior acute myocardial infarction

C. DUBOIS, L. A. PIÉRARD, J.-P. SMEETS, J. CARLIER and H. E. KULBERTUS

Department of Medicine, Section of Cardiology, University Hospital Liège, Belgium

Received 8 June 1988; revised 6 February 1989; .

Address for reprints: Luc A. Pièrard M.D., Université de Liège, Centre Hospitalier Universitaire du Sart-Tilman, 4000 Liège, Belgium

Abstract

Among 477 consecutive patients admitted for inferior acute myocardial infarction (AMI), 2nd or 3rd degree atrioventricular (AV) block developed in 88 (20%). Compared with the 359 without AV block, these 88 patients presented a higher incidence of Killip class > 1 (52% vs 28%, P<0.001), pericarditis (30% vs 17%, P< 0.01), atrial fibrillation (26% vs 11%, P<0.01), complete bundle branch block (12% vs 4%, P<0.01) and in-hospital mortality (24% vs 4%, P<0.001). The 3-year post-hospital mortality was not significantly different in the two groups (12% vs 15%). Among the 88 patients with AV block, those who died at hospital were older (66±11 vs 59±11 years, P<0.05), had a higher incidence of Killip class > 1 (86% vs 42%, P<0.001) and bundle branch block (29% vs 7%, P<0.05). Thus, patients with inferior AMI who developed AV block had a poor hospital outcome but long-term prognosis was similar in hospital survivors who had AV block and in those without this complication.

Key Words: Atrioventricular block • myocardial infarction • prognosis


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