Association between complete right bundle branch block and atrial fibrillation development

• Published in: Annals of noninvasive electrocardiology Vol. 27; no. 4; pp. e12966 - n/a
• Main Authors: Zhang, Fu‐Tao, Liu, Xiao‐Jie, Zhao, Dan‐Qing, Wu, Jin‐Tao, Zhang, Lei‐Ming, Hu, Juan, Fan, Xian‐Wei, Yang, Hai‐Tao, Yan, Li‐Jie, Liu, Jing‐Jing, Wang, Shan‐Ling
• Format: Journal Article
• Language: English
• Published: United States John Wiley & Sons, Inc 01.07.2022; John Wiley and Sons Inc; Wiley
• Subjects: Analysis; Atrial fibrillation; Cardiac arrhythmia; Cardiac patients; Cardiovascular diseases; complete right bundle branch block; Confidence intervals; Coronary artery disease; electrocardiography; Fibrillation; Heart diseases; Original; S waves; Ventricle; atrial fibrillation; complete right bundle branch block; electrocardiography
• ISSN: 1082-720X; 1542-474X
• DOI: 10.1111/anec.12966

Background Complete right bundle branch block (CRBBB) is an important predictor of atrial fibrillation (AF) recurrence after pulmonary vein isolation. However, the association between CRBBB and AF development remains unclear. Methods We performed a retrospective study of 2639 patients (male, n = 1549; female, n = 1090; mean age, 58 ± 13 years). CRBBB was defined as a late R (R′) wave in lead V1 or V2 with a slurred S wave in lead I and/or lead V6 with a prolonged QRS duration (≥120 ms). Results Among the 2639 patients, CRBBB was detected in 40 patients (1.5%), and the prevalence of AF was 7.4% (196/2639). The proportion of patients with AF and CRBBB was higher than the proportion of patients with AF without CRBBB (22.5% vs. 7.2%; p = 0.001). In the forward multivariate logistic analysis, CRBBB (odds ratio [OR], 3.329; 95% confidence interval [CI], 1.350–8.211; p = 0.009), complete left bundle branch block (OR, 2.209; 95% CI, 1.238–3.940; p = 0.007), age (OR, 1.020; 95% CI, 1.005–1.035; p = 0.009), valvular heart disease (OR, 2.332; 95% CI, 1.531–3.552; p < 0.001), left atrial diameter (OR, 1.133; 95% CI, 1.104–1.163; p < 0.001), left ventricular ejection fraction (OR, 1.023; 95% CI, 1.006–1.041; p = 0.007), and class I or III anti‐arrhythmic drug use (OR, 10.534; 95% CI, 7.090–15.651; p < 0.001) were associated with AF. Conclusion Complete right bundle branch block was significantly associated with AF development in hospitalized patients with cardiovascular diseases. Complete right bundle branch block was significantly associated with AF development in hospitalized patients with cardiovascular diseases. Screening of a resting 12‐lead ECG may help to identify patients who are at a high risk of developing AF.