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European Heart Journal Advance Access originally published online on October 7, 2005
European Heart Journal 2005 26(21):2222-2223; doi:10.1093/eurheartj/ehi390
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Left is worse than right: the outcome of bundle branch block in middle-aged men

Norbert M. van Hemel*

Heart Lung Center Utrecht, Utrecht University, The Netherlands

* Corresponding author. Tel: +31 30 657076. E-mail address: n.m.vanhemel@hetnet.nl

This editorial refers to ‘Bundle branch block in middle-aged men—risk of complications and death over 28 years. The primary prevention study in Göteborg, Sweden’{dagger} by P. Eriksson et al., on page 2300

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As opposed to right bundle branch block, left bundle branch block has been associated with organic heart diseases caused by high blood pressure, coronary artery disease, aortic valve stenosis, and cardiomyopathy since its first description.1 It is also known that degeneration of the specific conduction system increases with advancing age, resulting in a rise of the prevalence of bundle branch block in older individuals. In contrast, current imaging techniques and ischaemia detection sometimes rule out virtually any cardiac abnormality except abnormal regional left ventricular (LV) wall motion, specifically of the interventricular septum. Recently, resynchronization therapy with biventricular pacing has refreshed our . . . [Full Text of this Article]


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Related articles in EHJ:

Bundle-branch block in middle-aged men: risk of complications and death over 28 years: The Primary Prevention Study in Göteborg, Sweden
Peter Eriksson, Lars Wilhelmsen, and Annika Rosengren
EHJ 2005 26: 2300-2306. [Abstract] [Full Text]