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The authors’ reply:
1 Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands
2 Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands
3 Department of Radiology, University Medical Centre Utrecht, Utrecht, The Netherlands
4 Department of Internal Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands
Correspondence to:
Correspondence to: Professor P A Doevendans, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands; p.doevendans@umcutrecht.nl
| The first 100% of the full text of this article appears below. |
We thank Dr Jolobe for his interest in our article.1 As mentioned by Dr Jolobe,2 previous studies have indeed reported an association between left bundle branch block (LBBB) and myocardial infarction. In our study in subjects at high cardiovascular risk without symptomatic coronary artery disease, only 1% of subjects had LBBB on the ECG at the time of inclusion. LBBB was not related to the presence of unrecognised myocardial infarction. Therefore, based on our data we cannot confirm the suggested role for LBBB in the detection of unrecognised myocardial infarctions.
Provenance and peer review Not commissioned; not externally peer reviewed.
- Meijs MF, Bots ML, Cramer MJ, et al.. Unrecognised myocardial infarction in subjects at high vascular risk: prevalence and determinants. Heart 2009;95:728–32.
[Abstract/Free Full Text] - Jolobe O. Unrecognised myocardial infarction in subjects at high vascular risk. Heart 2009;95:1879.
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