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Sgarbossa's criteria are a set of electrocardiographic findings generally used to identify myocardial infarction (also called acute myocardial infarction or a "heart attack") in the presence of a left bundle branch block (LBBB) or a ventricular paced rhythm. [1] Myocardial infarction (MI) is often difficult to detect when LBBB is present on ECG ...
Left bundle branch block (LBBB) is a conduction abnormality in the heart that can be seen on an electrocardiogram (ECG). [1] In this condition, activation of the left ventricle of the heart is delayed, which causes the left ventricle to contract later than the right ventricle .
Tachycardia-dependent bundle branch block; A simple way to quickly differentiate between the two types is to note the deflection of the QRS complex in the V1 lead. A (V1) QRS segment deflected down indicates left bundle branch block, while a deflection up indicates right bundle branch block. In both types, the QRS is wide (> 0.12 seconds).
The bundle branches were separately described by Retzer and Braeunig as early as 1904, but their physiological function remained unclear and their role in the electrical conduction system of the heart remained unknown until Sunao Tawara published his monograph on Das Reizleitungssystem des Säugetierherzens (English: The Conduction System of the Mammalian Heart) in 1906. [4]
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Atropine is often used as a first line treatment of a third-degree heart block in the presence of a narrow QRS which indicates a nodal block, but, may have little to no effect in an infra-nodal block. [11] Atropine works by reducing vagal stimulation through the AV node but will not be effective in those who have had a previous heart transplant ...
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This damage results in the inability of this neural-like tissue to conduct electrical signals and control the heart as efficiently as before, resulting in the cardiac abnormality known as a bundle branch block (BBB). This can affect either side of the heart, and is described as a right or left BBB.