{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T12:08:21Z","timestamp":1773749301456,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T00:00:00Z","timestamp":1661904000000},"content-version":"vor","delay-in-days":242,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011447","name":"Science and Technology Department of Henan Province","doi-asserted-by":"publisher","award":["212102310202"],"award-info":[{"award-number":["212102310202"]}],"id":[{"id":"10.13039\/501100011447","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Contrast Media &amp; Molecular Imaging"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. The purpose of this study is to explore the clinical characteristics and estimate the new\u2010onset atypical right branch bundle block (ATRBBB) predictive value in short\u2010term and long\u2010term mortality by comparing the typical right branch bundle block (TRBBB) subset in acute myocardial infarction (AMI) patients. <jats:italic>Methods<\/jats:italic>. A total of 224 AMI patients combined with new onset RBBB who received primary coronary angiography were included, being admitted to Henan Provincial People\u2019s Hospital in China from July 2010 to June 2021. Patients were divided into typical RBBB group (<jats:italic>n<\/jats:italic>\u2009=\u2009104) and atypical RBBB group (<jats:italic>n<\/jats:italic>\u2009=\u2009120). The differences in clinical characteristics between the two groups were analyzed. Logistic and Cox regression analysis were performed to identify independent predictors of in\u2010hospital Major Adverse Cardiovascular Events (MACE). <jats:italic>Result<\/jats:italic>. The ATRBBB group had a higher proportion of smoking and alcohol consumption, higher body mass index, worse cardiac function (killip\u2009\u2267\u2009II proportion), higher peak value of CK\u2010MB, lower LVEF%, longer total ischemia time, higher proportion of LAD (left anterior descending coronary artery) occlusion, and multivessel lesions, compared to the TRBBB group. The ATRBBB group had a higher proportion of in\u2010hospital MACE and 1\u2010year all\u2010cause mortality compared to the TRBBB group. ATRBBB was an independent predictor of in\u2010hospital MACE and 1\u2010year mortality in patients with AMI combined with new onset RBBB. <jats:italic>Conclusions<\/jats:italic>. ATRBBB group had more serious clinical symptoms and clinical prognosis. New ATRBBB is an independent predictor of in\u2010hospital MACE and 1\u2010year death in patients with AMI combined with RBBB. If the infarct\u2010related vessel was opened immediately, the evolution of TRBBB to ATRBBB may be avoided, leading to a better prognosis.<\/jats:p>","DOI":"10.1155\/2022\/4620881","type":"journal-article","created":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T17:20:13Z","timestamp":1661966413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Differences in Clinical Characteristic and Outcomes of New Onset Typical versus Atypical Right Branch Bundle Block in Acute Myocardial Infarction"],"prefix":"10.1155","volume":"2022","author":[{"given":"Jingchao","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luqian","family":"Cui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lingkun","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haijia","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huihui","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4818-8893","authenticated-orcid":false,"given":"Shujuan","family":"Dong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5102-7981","authenticated-orcid":false,"given":"Yingjie","family":"Chu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,8,31]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.jcn.0000305072.49613.92"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(03)12113-7"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.94.10.2424"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.96.4.1139"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-129-9-199811010-00003"},{"key":"e_1_2_9_6_2","doi-asserted-by":"crossref","first-page":"e362","DOI":"10.1161\/CIR.0b013e3182742c84","article-title":"ACCF\/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American college of cardiology foundation\/American heart association task force on practice guidelines","volume":"127","author":"O\u2019Gara P. 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