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Trifascicular block

MedGen UID:
488790
•Concept ID:
C0155707
•
Disease or Syndrome
Synonym: Multifascicular block
SNOMED CT: Trifascicular block (86014007); Multifascicular block (86014007)
 
HPO: HP:0011715

Definition

Abnormal conduction in all three divisions of the intraventricular conducting tissue. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTrifascicular block

Professional guidelines

PubMed

Long-term management of bradyarrhythmias following open heart surgery: surgical A-V block and sick sinus syndrome after surgery for secundum atrial septal defects treated with permanent cardiac pacing.
Ohnishi S, Kasanuki H, Takamizawa K, Takao A, Hirosawa K
Jpn Circ J 1986 Sep;50(9):903-17. doi: 10.1253/jcj.50.903. PMID: 3099026

Recent clinical studies

Etiology

Diagnostic Dilemma of Syncope: Esophageal Hiatal Hernia and High-risk Bundle-branch Block.
Kojo K, Morikawa T, Kikawa T, Sasaki K, Suyama Y, Shimizu T
Intern Med 2024 Jan 1;63(1):83-86. Epub 2023 May 17 doi: 10.2169/internalmedicine.1569-23. PMID: 37197958Free PMC Article
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573
Percutaneous transluminal septal ablation in hypertrophic obstructive cardiomyopathy.
Seggewiss H, Faber L, Gleichmann U
Thorac Cardiovasc Surg 1999 Apr;47(2):94-100. doi: 10.1055/s-2007-1013118. PMID: 10363608
'High-risk' bundle branch block.
Rahimtoola SH, McAnulty JH
Hosp Pract (Off Ed) 1981 Jan;16(1):73-80, 85-7, 91-2. PMID: 6786976
His bundle electrogram after intracardiac repair of tetralogy of Fallot. Analysis of data in 59 patients.
Hougen TJ, Dick M 2nd, Freed MD, Keane JF
Am J Cardiol 1978 Mar;41(3):552-8. doi: 10.1016/0002-9149(78)90014-0. PMID: 626132

Diagnosis

Conduction Dysfunction and Near Expunction: Giant Cell Myocarditis.
Gleber C, Yoruk A, Eastburg L, Goldman BI, Cameron SJ
Am J Med 2018 Nov;131(11):1317-1320. Epub 2018 May 3 doi: 10.1016/j.amjmed.2018.04.011. PMID: 29729236Free PMC Article
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573
'High-risk' bundle branch block.
Rahimtoola SH, McAnulty JH
Hosp Pract (Off Ed) 1981 Jan;16(1):73-80, 85-7, 91-2. PMID: 6786976
Concealed nonparoxysmal junctional tachycardia.
Wyndham CR, Dhingra RC, Smith T, Best D, Rosen KM
Circulation 1979 Sep;60(3):707-10. doi: 10.1161/01.cir.60.3.707. PMID: 455629
Congenital intraventricular trifascicular block.
Chan TS, Potter RT, Liu L
Am J Dis Child 1973 Jan;125(1):82-7. doi: 10.1001/archpedi.1973.04160010052012. PMID: 4265126

Therapy

Conduction Dysfunction and Near Expunction: Giant Cell Myocarditis.
Gleber C, Yoruk A, Eastburg L, Goldman BI, Cameron SJ
Am J Med 2018 Nov;131(11):1317-1320. Epub 2018 May 3 doi: 10.1016/j.amjmed.2018.04.011. PMID: 29729236Free PMC Article
Percutaneous transluminal septal ablation in hypertrophic obstructive cardiomyopathy.
Seggewiss H, Faber L, Gleichmann U
Thorac Cardiovasc Surg 1999 Apr;47(2):94-100. doi: 10.1055/s-2007-1013118. PMID: 10363608
Prognostic significance of the development of left bundle conduction defects following aortic valve replacement.
Thomas JL, Dickstein RA, Parker FB Jr, Potts JL, Poirier RA, Fruehan CT, Eich RH
J Thorac Cardiovasc Surg 1982 Sep;84(3):382-6. PMID: 7109669
Prognosis for patients with congenital heart disease and postoperative intraventricular conduction defects.
Krongrad E
Circulation 1978 May;57(5):867-70. doi: 10.1161/01.cir.57.5.867. PMID: 346255
Congenital intraventricular trifascicular block.
Chan TS, Potter RT, Liu L
Am J Dis Child 1973 Jan;125(1):82-7. doi: 10.1001/archpedi.1973.04160010052012. PMID: 4265126

Prognosis

Diagnostic Dilemma of Syncope: Esophageal Hiatal Hernia and High-risk Bundle-branch Block.
Kojo K, Morikawa T, Kikawa T, Sasaki K, Suyama Y, Shimizu T
Intern Med 2024 Jan 1;63(1):83-86. Epub 2023 May 17 doi: 10.2169/internalmedicine.1569-23. PMID: 37197958Free PMC Article
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573
'High-risk' bundle branch block.
Rahimtoola SH, McAnulty JH
Hosp Pract (Off Ed) 1981 Jan;16(1):73-80, 85-7, 91-2. PMID: 6786976
His bundle electrogram after intracardiac repair of tetralogy of Fallot. Analysis of data in 59 patients.
Hougen TJ, Dick M 2nd, Freed MD, Keane JF
Am J Cardiol 1978 Mar;41(3):552-8. doi: 10.1016/0002-9149(78)90014-0. PMID: 626132
Prognosis for patients with congenital heart disease and postoperative intraventricular conduction defects.
Krongrad E
Circulation 1978 May;57(5):867-70. doi: 10.1161/01.cir.57.5.867. PMID: 346255

Clinical prediction guides

Diagnostic Dilemma of Syncope: Esophageal Hiatal Hernia and High-risk Bundle-branch Block.
Kojo K, Morikawa T, Kikawa T, Sasaki K, Suyama Y, Shimizu T
Intern Med 2024 Jan 1;63(1):83-86. Epub 2023 May 17 doi: 10.2169/internalmedicine.1569-23. PMID: 37197958Free PMC Article
Transient trifascicular block complicating myocardial contusion after blunt chest trauma: a case report.
Bortnik M, Occhetta E, Ruggeri C, Marino P
J Cardiovasc Med (Hagerstown) 2008 Sep;9(9):937-40. doi: 10.2459/JCM.0b013e328300c37d. PMID: 18695435
Percutaneous transluminal septal ablation in hypertrophic obstructive cardiomyopathy.
Seggewiss H, Faber L, Gleichmann U
Thorac Cardiovasc Surg 1999 Apr;47(2):94-100. doi: 10.1055/s-2007-1013118. PMID: 10363608
Clinical features of acute coxsackie B viral myocarditis.
Toshima H, Ohkita Y, Shingu M
Jpn Circ J 1979 May;43(5):441-4. doi: 10.1253/jcj.43.441. PMID: 224222
Prognosis for patients with congenital heart disease and postoperative intraventricular conduction defects.
Krongrad E
Circulation 1978 May;57(5):867-70. doi: 10.1161/01.cir.57.5.867. PMID: 346255

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