Structural causes of right bundle branch block-time for a closer look?
Right bundle branch block is an electrocardiographic phenomenon with specific criteria.Currently, two specific forms of right bundle branch block are acknowledged, a proximal and a distal variant. A vast array of pathologies can cause proximal, distal or even combined forms of right bundle branch block.IN THIS STUDY IT IS SUGGESTED THAT A THIRD TYPE OF RIGHT BUNDLE BRANCH BLOCK EXIST: one caused by a subaortic muscular tendon in the left ventricle, leading to an increased velocity of conduction in the left ventricle, with a resultant "relative" right bundle branch block. It is concluded that it is necessary (and time) to take a closer look at endoventricular structures in the assessment of structural causes of right bundle branch block.
Ker
James
J
Department of Physiology, University of Pretoria, Pretoria, South Africa, PO Box 24318, Gesina, Pretoria, South Africa, 0031.
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