{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T01:49:00Z","timestamp":1768787340576,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2006,9,25]],"date-time":"2006-09-25T00:00:00Z","timestamp":1159142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Internal Medicine"],"published-print":{"date-parts":[[2006,11]]},"abstract":"<jats:title>Abstract.<\/jats:title><jats:p><jats:bold>Objectives.\u2002<\/jats:bold> Risk stratification in acute congestive heart failure (ACHF) is poorly defined. The aim of the present study was to assess the impact of right bundle brunch block (RBBB) on long\u2010term mortality in patients presenting with ACHF.<\/jats:p><jats:p><jats:bold>Methods and results.\u2002<\/jats:bold> The initial 12\u2010lead electrocardiogram was analysed for RBBB in 192 consecutive patients presenting with ACHF to the emergency department. The primary endpoint was all\u2010cause mortality during 720\u2010day follow\u2010up. This study included an elderly cohort (mean age 74\u2003years) of ACHF patients. RBBB was present in 27 patients (14%). Age, sex, B\u2010type natriuretic peptide levels and initial management were similar in patients with RBBB when compared with patients without RBBB. However, patients with RBBB more often had pulmonary comorbidity. A total of 84 patients died during follow\u2010up. Kaplan\u2013Meier analysis revealed that mortality at 720\u2003days was significantly higher in patients with RBBB when compared with patients without RBBB (63% vs. 39%, <jats:italic>P<\/jats:italic>\u2003=\u20030.004). In Cox proportional hazard analysis, RBBB was associated with a two\u2010fold increase in mortality (hazard ratio 2.18, 95% CI 1.26\u20133.66; <jats:italic>P<\/jats:italic>\u2003=\u20030.003). This association persisted after adjustment for age and comorbidity.<\/jats:p><jats:p><jats:bold>Conclusions.\u2002<\/jats:bold> RBBB is a powerful predictor of mortality in patients with ACHF. Early identification of this high\u2010risk group may help to offer tailored treatment in order to improve outcome.<\/jats:p>","DOI":"10.1111\/j.1365-2796.2006.01703.x","type":"journal-article","created":{"date-parts":[[2006,9,25]],"date-time":"2006-09-25T15:10:13Z","timestamp":1159197013000},"page":"421-428","source":"Crossref","is-referenced-by-count":22,"title":["Right bundle branch block and long\u2010term mortality in patients with acute congestive heart failure"],"prefix":"10.1111","volume":"260","author":[{"given":"C.","family":"MUELLER","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"LAULE\u2010KILIAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"KLIMA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"BREIDTHARDT","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"HOCHHOLZER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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