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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

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
Hemiblocks and the fascicular system: myths and implications.
Fisher JD
J Interv Card Electrophysiol 2018 Aug;52(3):281-285. Epub 2018 Aug 20 doi: 10.1007/s10840-018-0440-1. PMID: 30128802
Cardiac pacing in left bundle branch/bifascicular block patients.
Maddali MM
Ann Card Anaesth 2010 Jan-Apr;13(1):7-15. doi: 10.4103/0971-9784.58828. PMID: 20075529
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573
Incidence and site of atrioventricular block in patients with chronic bifascicular block.
Dhingra RC, Wyndham C, Amat-y-Leon F, Denes P, Wu D, Sridhar S, Bustin AG, Rosen KM
Circulation 1979 Feb;59(2):238-46. doi: 10.1161/01.cir.59.2.238. PMID: 758992

Diagnosis

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
Alternating trifascicular block and cardiac memory.
Danon A, Shurrab M
J Electrocardiol 2017 Nov-Dec;50(6):966-968. Epub 2017 Jul 12 doi: 10.1016/j.jelectrocard.2017.07.006. PMID: 28802655
Cardiac pacing in left bundle branch/bifascicular block patients.
Maddali MM
Ann Card Anaesth 2010 Jan-Apr;13(1):7-15. doi: 10.4103/0971-9784.58828. PMID: 20075529
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573
Experimental bases for diagnosis of left bifascicular and trifascicular block.
Medrano GA, De Micheli A, Brenes PC, Sodi-Pallares D
G Ital Cardiol 1975;5(1):8-18. PMID: 1120557

Therapy

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
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
Temporary Transvenous Pacemaker Implantation during Carotid Endarterectomy in Patients with Trifascicular Block.
Marrocco-Trischitta MM, Mazzone P, Vitale R, Regazzoli D, Laricchia A, Chiesa R
Ann Vasc Surg 2016 Jul;34:206-11. Epub 2016 May 10 doi: 10.1016/j.avsg.2015.12.025. PMID: 27177706
Cardiac pacing in left bundle branch/bifascicular block patients.
Maddali MM
Ann Card Anaesth 2010 Jan-Apr;13(1):7-15. doi: 10.4103/0971-9784.58828. PMID: 20075529
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

Prognosis

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
Hemiblocks and the fascicular system: myths and implications.
Fisher JD
J Interv Card Electrophysiol 2018 Aug;52(3):281-285. Epub 2018 Aug 20 doi: 10.1007/s10840-018-0440-1. PMID: 30128802
Cardiac pacing in left bundle branch/bifascicular block patients.
Maddali MM
Ann Card Anaesth 2010 Jan-Apr;13(1):7-15. doi: 10.4103/0971-9784.58828. PMID: 20075529
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573
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

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
Generating Purkinje networks in the human heart.
Sahli Costabal F, Hurtado DE, Kuhl E
J Biomech 2016 Aug 16;49(12):2455-65. Epub 2015 Dec 22 doi: 10.1016/j.jbiomech.2015.12.025. PMID: 26748729Free PMC Article
Comparative survival after permanent ventricular and dual chamber pacing for patients with chronic high degree atrioventricular block with and without preexistent congestive heart failure.
Alpert MA, Curtis JJ, Sanfelippo JF, Flaker GC, Walls JT, Mukerji V, Villarreal D, Katti SK, Madigan NP, Krol RB
J Am Coll Cardiol 1986 Apr;7(4):925-32. doi: 10.1016/s0735-1097(86)80358-8. PMID: 3958351
Incidence and site of atrioventricular block in patients with chronic bifascicular block.
Dhingra RC, Wyndham C, Amat-y-Leon F, Denes P, Wu D, Sridhar S, Bustin AG, Rosen KM
Circulation 1979 Feb;59(2):238-46. doi: 10.1161/01.cir.59.2.238. PMID: 758992
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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