{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:44:35Z","timestamp":1773013475807,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Right bundle branch block (RBBB) has a high prevalence among heart transplant recipients and could influence outcomes. Crucially, the predictors of RBBB development after heart transplantation are not well\u2010established. Our study aims to evaluate the preoperative predictors and outcomes of RBBB following heart transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Scopus, Web of Science, and Cochrane Library were searched up to November 15, 2024, to identify studies comparing heart transplant recipients with RBBB and without RBBB. Random\u2010effects models were used to estimate the pooled mean difference (MD) and risk ratios (RRs) with 95% confidence intervals (95% CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nine studies incorporating 1507 patients were included. Patients who developed RBBB had higher graft ischemia time [MD: 10.0; 95% CI: 2.00\u201317.91;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01] and pulmonary vascular resistance (PVR) (MD: 0.44; 95% CI: 0.21\u20130.68;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). There was no significant difference between RBBB and non\u2010RBBB patients in terms of pulmonary artery pressure (MD: 1.83; 95% CI: \u20100.86\u20134.53;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.18) or donor age (MD: 1.51; 95% CI: \u20100.30\u2013 3.31;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.10). There was no significant difference in the prognosis of RBBB patients in terms of acute rejection (RR: 1.06; 95% CI: 0.70\u20131.61;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.78), chronic rejection (RR: 0.92; 95% CI: 0.60\u20131.41;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.70), or mortality (RR: 1.87; 95% CI: 0.81\u20134.31;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.14).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the association of RBBB with graft ischemia time and PVR, post\u2010transplant RBBB had no significant impact on mortality or graft rejection. Further research focusing on the identification period and applied definition of RBBB is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70322","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T14:30:41Z","timestamp":1758033041000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors and Prognosis of Right Bundle Branch Block Following Heart Transplantation: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8880-5051","authenticated-orcid":false,"given":"Naydeen","family":"Mostafa","sequence":"first","affiliation":[{"name":"Faculty of Medicine Ain Shams University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Almaadawy","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine MedStar Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Elshahat","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhiddin","family":"Dervis","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ankara Yilidirim Beyazit University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belal","family":"Mohamed Hamed","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amar","family":"Asad","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ankara Yilidirim Beyazit University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofian","family":"Zreigh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Ankara Yilidirim Beyazit University  Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esraa M.","family":"Soliman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Zagazig University  Zagazig Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamed Abdelma'aboud","family":"Mostafa","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Al\u2010Azhar University  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hossam","family":"Elbenawi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2781-7873","authenticated-orcid":false,"given":"Mustafa","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine University of Florida  Gainesville Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2018-313103"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.112.001461"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2013.09.006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2024.03.020"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2019.60.5.423"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960210914"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-2498(99)00122-9"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/anec.12402"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.13494"},{"key":"e_1_2_10_11_1","unstructured":"Cochrane Handbook for Systematic Reviews of Interventions: Accessed December 8 2024 https:\/\/training.cochrane.org\/handbook\/current."},{"key":"e_1_2_10_12_1","unstructured":"Newcastle\u2010Ottawa Scale\u2014An Overview | ScienceDirect Topics. 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