LBBB: Difference between revisions

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[[Image:12leadLBTB.png|thumb| Left bundle branch Block on a 12 lead ECG.]]
[[Image:12leadLBTB.png|thumb| Left bundle branch Block on a 12 lead ECG.]]


In ''left bundle branch block'' (LBBB) the conduction in the left bundle is slow. This results in delayed depolarisation of the left ventricle, especially the left lateral wall. The electrical activity in the left lateral wall is unopposed by the usual right ventricular electrical activity. The last activity on the ECG thus goes to the left or away from V1. Once you remember this, LBBB is easy to understand.
In ''left bundle branch block'' (LBBB) the conduction in the left bundle is slow. This results in delayed depolarization of the left ventricle, especially the left lateral wall. The electrical activity in the left lateral wall is unopposed by the usual right ventricular electrical activity. The last activity on the ECG thus goes to the left or away from V1. Once you remember this, LBBB is easy to understand.


[[MI Diagnosis in LBBB|Diagnosis of myocardial infarction in LBBB]] is difficult as the ST segment is allways abnormal.
[[MI Diagnosis in LBBB|Diagnosis of myocardial infarction in LBBB]] is difficult as the ST segment is allways abnormal.

Revision as of 13:06, 20 August 2007

Criteria for left bundle branch block (LBBB) [1]
QRS >0,12 sec
Broad monomorphic R waves in I and V6 with no Q waves
Broad monomorphic S waves in V1, may have a small r wave
In a LBBB, the left ventricle is depolarized later than the right ventricle.
In a LBBB, the last depolarization wave is in the left ventricle. This wave is directed away from V1. On the ECG, V1 will show a negative complex.
Left bundle branch Block on a 12 lead ECG.

In left bundle branch block (LBBB) the conduction in the left bundle is slow. This results in delayed depolarization of the left ventricle, especially the left lateral wall. The electrical activity in the left lateral wall is unopposed by the usual right ventricular electrical activity. The last activity on the ECG thus goes to the left or away from V1. Once you remember this, LBBB is easy to understand.

Diagnosis of myocardial infarction in LBBB is difficult as the ST segment is allways abnormal.

Also read right bundle branch block.

References

  1. ISBN:0763722464 [Garcia]
  2. ISBN:9781416002598 [wellens]
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