Changes

[[Image:LBTB_RBTB_en.png|thumb| A bundle branch block causes a delay in the depolarization of the right (RBBB) or left (LBBB) ventricle. In RBBB the QRS complex shows a second peak or R' in V1.]]

[[Image:LBTB_RBTB_en.png|thumb| A bundle branch block causes a delay in the depolarization of the right (RBBB) or left (LBBB) ventricle. In RBBB the QRS complex shows a second peak or R' in V1.]]

Check V1 when QRS > 0,12 sec.

Check V1 when QRS > 0,12 sec.

When the last QRS in V1 is below the baseline (moving away from V1), a LBBB is the most likely diagnosis.  

When the "terminal force" of the QRS in V1 is below the baseline (i.e. QS wave), a LBBB is the most likely diagnosis.  

When the last activity is above the baseline, it's a RBBB.

When the "terminal force" of the QRS in V1 is above the baseline (i.e. RSR' wave), it's a RBBB.

If the QRS > 0.12 sec. but the morphological criteria of LBBB or RBBB do not apply, it is called 'interventriculair conduction delay', a general term.  

If the QRS > 0.12 sec. but the morphological criteria of LBBB or RBBB do not apply, it is called 'interventriculair conduction delay', a general term.  

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