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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.
When a bundle branch or their fascicles becomes injured (by underlying heart disease, myocardial infarction, or cardiac surgery), it may cease to conduct electrical impulses appropriately, resulting in altered pathways for ventricular depolarization. This condition is known as a bundle branch block. [3]
The criteria to diagnose a right bundle branch block on the electrocardiogram: The heart rhythm must originate above the ventricles (i.e., sinoatrial node, atria or atrioventricular node) to activate the conduction system at the correct point. The QRS duration must be more than 100 ms (incomplete block) or more than 120 ms (complete block). [9]
Infra-Hisian blocks may occur at the left or right bundle branches ("bundle branch block") or the fascicles of the left bundle branch ("fascicular block" or "Hemiblock"). SA and AV node blocks are each divided into three degrees, with second-degree blocks being divided into two types (written either "type I or II" or "type 1 or 2").
A bundle branch block is when the electrical signal from the AV node gets blocked or delayed along one of the bundle branches in the ventricles. It is usually caused by fibrosis of heart tissue from acute or chronic heart disease.
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 .
An intraventricular block is a heart conduction disorder — heart block of the ventricles of the heart. [1] An example is a right bundle branch block, right fascicular block, bifascicular block, trifascicular block. [2] [3]
A bundle branch block either LBBB or RBBB, (although RBBB is known to be associated only with S1 split), will produce continuous splitting but the degree of splitting will still vary with respiration. When the pulmonary valve closes before the aortic valve, this is known as a "paradoxically split S 2 ". [6]
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