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Cardiology, Emergency Medicine. 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 .
Diagnosis. A bundle branch block can be diagnosed when the duration of the QRS complex on the ECG exceeds 120 ms. A right bundle branch block typically causes prolongation of the last part of the QRS complex and may shift the heart's electrical axis slightly to the right. The ECG will show a terminal R wave in lead V1 and a slurred S wave in ...
A tachycardia-dependent bundle branch block is a defect in the conduction system of the heart, and is distinct from typical bundle branch blocks due to its reliable, reproducible onset related to an increase in the rate of cardiac contraction. Tachycardia-dependent bundle branch block can prevent both ventricles from contracting efficiently and ...
Heart block. Heart block ( HB) [ 1] is a disorder in the heart 's rhythm due to a fault in the natural pacemaker. [ 2] This is caused by an obstruction – a block – in the electrical conduction system of the heart. Sometimes a disorder can be inherited. Despite the severe-sounding name, heart block may cause no symptoms at all in some cases ...
Cardiology. Left anterior fascicular block ( LAFB) is an abnormal condition of the left ventricle of the heart, [ 1][ 2] related to, but distinguished from, left bundle branch block (LBBB). It is caused by only the left anterior fascicle – one half of the left bundle branch being defective. It is manifested on the ECG by left axis deviation.
There are two branches of the bundle of His: the left bundle branch and the right bundle branch, both of which are located along the interventricular septum. The left bundle branch further divides into the left anterior fascicle and the left posterior fascicle. These structures lead to a network of thin filaments known as Purkinje fibers.
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.
When left bundle-branch block (LBBB) is accompanied by right axis deviation (RAD), the rare combination is considered to be highly suggestive of dilated or congestive cardiomyopathy. [ 29 ] [ 30 ] Echocardiogram shows left ventricular dilatation with normal or thinned walls and reduced ejection fraction .