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  • The Above ECG Shows Classic RBBB (Note RSR' in V1) Plus LAFB (Note QRS Axis - 45 Degrees, RS in II, III, aVF and Small Q in aVL)

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    Lwin Maung Maung Thike
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    This document discusses different types of conduction abnormalities seen on ECGs. It describes an ECG showing right bundle branch block and left anterior fascicular block. It then defines nonspecific intraventricular conduction defects as QRS durations over 0.10s when the criteria for specific bundle branch or fascicular blocks are not met, listing potential causes as ventricular hypertrophy, myocardial infarction, drugs, and hyperkalemia. It also discusses Wolff-Parkinson-White preexcitation where the QRS represents fusion of early activation through an accessory pathway and later normal activation, with criteria of a short PR interval, wide QRS, and delta waves.

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    50ec

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    50_7-PDF_EC

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    This document discusses different types of conduction abnormalities seen on ECGs. It describes an ECG showing right bundle branch block and left anterior fascicular block. It then defines nonspecific intraventricular conduction defects as QRS durations over 0.10s when the criteria for specific bundle branch or fascicular blocks are not met, listing potential causes as ventricular hypertrophy, myocardial infarction, drugs, and hyperkalemia. It also discusses Wolff-Parkinson-White preexcitation where the QRS represents fusion of early activation through an accessory pathway and later normal activation, with criteria of a short PR interval, wide QRS, and delta waves.

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    © All Rights Reserved
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    11 views1 page

    The Above ECG Shows Classic RBBB (Note RSR' in V1) Plus LAFB (Note QRS Axis - 45 Degrees, RS in II, III, aVF and Small Q in aVL)

    Uploaded by

    Lwin Maung Maung Thike
    This document discusses different types of conduction abnormalities seen on ECGs. It describes an ECG showing right bundle branch block and left anterior fascicular block. It then defines nonspecific intraventricular conduction defects as QRS durations over 0.10s when the criteria for specific bundle branch or fascicular blocks are not met, listing potential causes as ventricular hypertrophy, myocardial infarction, drugs, and hyperkalemia. It also discusses Wolff-Parkinson-White preexcitation where the QRS represents fusion of early activation through an accessory pathway and later normal activation, with criteria of a short PR interval, wide QRS, and delta waves.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Lesson VI - ECG Conduction Abnormalities

    click here to view

    The above ECG shows classic RBBB (note rSR' in V1) plus
    LAFB (note QRS axis = -45 degrees, rS in II, III, aVF; and
    small q in aVL).

    Nonspecific Intraventricular Conduction Defects (IVCD)

    QRS duration >0.10s indicating slowed conduction in the ventricles

    Criteria for specific bundle branch or fascicular blocks not met

    Causes of nonspecific IVCD's include:

    Ventricular hypertrophy (especially LVH)

    Myocardial infarction (so called periinfarction blocks)

    Drugs, especially class IA and IC antiarrhythmics (e.g., quinidine,


    flecainide)

    Hyperkalemia

    Wolff-Parkinson-White Preexcitation

    Although not a true IVCD, this condition causes widening of QRS complex
    and, therefore, deserves to be considered here

    QRS complex represents a fusion between two ventricular activation fronts:

    Early ventricular activation in region of the accessory AV


    pathway (Bundle of Kent)

    Ventricular activation through the normal AV junction, bundle


    branch system

    ECG criteria include all of the following:

    ● Short PR interval (<0.12s)

    http://library.med.utah.edu/kw/ecg/ecg_outline/Lesson6/index.html (10 of 11) [5/11/2006 9:39:39 AM]

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