Prevalence of coronary artery disease in patients with left bundle branch block and its association with risk factors hypertension and diabetes mellitus

Abstract

Background: Left bundle branch block (LBBB) is a common finding in electrocardiography, there are many causes of LBBB. Objectives: The aim of this study is to discuss the true prevalence of coronary artery disease (CAD) in patients with LBBB and associated risk factors in the form of hypertension and diabetes mellitus. Materials and Methods: Patients with LBBB were admitted to the Iraqi heart center for cardiac disease in December 2017 to the end of April 2021; all patients underwent coronary angiography and they are classified into three groups: group 1: patients with proximal left anterior descending artery (LAD) or mid-LAD and either left circumflex artery (LCX) or right coronary artery (RCA) with lesion consider significant if more than 70% stenosis of the artery, group 2: patients with either isolated LCX or RCA with lesion if more than 70% stenosis of the artery, group 3: patients with normal coronary artery. Results: The most important finding in this study is that the percentage of LAD artery lesions or two vessels disease was only 24.5%. Patients in group 1 showed a high prevalence of hypertension (77.6%), whereas in group 3, the prevalence of hypertension was 47.95%. In this study, the prevalence of diabetes mellitus in group 1 was high (62.2%), whereas in group 3, it was 32%. Conclusion: High prevalence of men with LBBB than women, and the prevalence of LBBB increases with age. Patients who had hypertension and diabetes mellitus with LBBB most likely had an ischemic cause of LBBB, but patients with LBBB had low ejection fraction (EF) 369 out of 400 patients (90%) had low EF.

Keywords

• coronary artery disease
• diabetes mellitus
• hypertension
• left bundle branch block