Arrhythmias & electrophysiology

Association Between Right Bundle Branch Block and Ventricular Arrhythmia in Patients With Cardiac Sarcoidosis

JACC AdvPublished Post hoc analysis of the ILLUMINATE-CS retrospective observational study

Primary resultResult — go to the resultHazard ratio 1.93 95% CI 1.14–3.28

Authors' conclusion

In patients with CS, RBBB was an independent predictor of SVAEs, which might reflect the specific scar distribution that is predominant in the IVS.

Study context

Population
Japanese patients with cardiac sarcoidosis66 with SVAE
Participants
312 patients
Comparison
Right bundle branch block (RBBB) vs no RBBB at diagnosis
  • RBBBn = 155
Primary endpoint
Serious ventricular arrhythmia events:
  • SCD
  • Documented VF
  • Sustained VT
  • Appropriate ICD therapy
Follow-up
Median 3.0 years (IQR: 1.6-6.0 years)
Methodological detailsmulticentre
  • Multicentre

Primary result

As reported in the abstract

Hazard ratio

1.93

95% CI 1.14–3.28

P = 0.015

RBBBvs Non-RBBB
HR 1.93 (95% CI 1.14–3.28); P = 0.015

Further findings

Basal interventricular septum (IVS) thinning and prominent LGE in basal IVS on CMR

Higher prevalence in RBBB than non-RBBB

Original publication

Association Between Right Bundle Branch Block and Ventricular Arrhythmia in Patients With Cardiac Sarcoidosis. JACC Adv. Published 12 July 2024. doi:10.1016/j.jacadv.2024.101105

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