RT-174
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Clinical evaluation and follow-up of patients with right bundle branch block and ST segment elevation in the right precordial leads
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Maria Vittoria Pitzalis, Matteo Anaclerio, Giovanni Luzzi, Paolo Rizzon.
Istituto di Cardiologia, Universita di Bari, Italy
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Abstract
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Aetiology and pathophysiology of the “right bundle branch block, ST
segment elevation in the right precordial leads and sudden death” syndrome are controversial. The recent
discovery of genetic abnormalities linked to this syndrome suggests a primary electrical disease, but several
authors have reported a similar electrocardiographic pattern in patients with right ventricular cardiomyopathy.
In our study we prospectively evaluated the clinical characteristics and follow-up of six patients with right bundle
branch block and ST segment elevation admitted to our Institute. In the majority, but not in all, we found a right
ventricular cardiomyopathy. Their prognosis does not appear poor, but a longer follow up is needed.
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Key Words
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