Clinical question of the week: should RBBB be an indication for primary PCI?

In a patient with symptoms suggestive of acute myocardial infarction, a new-onset left bundle branch block (LBBB) is considered an indication for reperfusion therapy i.e. primary percutaneous coronary intervention (pPCI) or thrombolysis. In contrast, a new-onset of right bundle branch block is not considered as an indication for administration of reperfusion therapy in this context. The question arises: 

Source: Doc2Doc BMJ Cardiology - August 24, 2015 Category: Cardiology Authors: Heart Matters Source Type: forums