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Incomplete Bundle Branch Block by ECG Finding

MedGen UID:
75475
•Concept ID:
C0259758
•
Finding
Synonyms: Incomplete Bundle Branch Block; Incomplete Bundle Branch Block by EKG Finding

Definition

An electrocardiographic finding of partially blocked cardiac electrical impulse conduction along the fibers of one or both bundle branches. [from NCI]

Professional guidelines

PubMed

Cardiovascular abnormalities and its correlation with genotypes of children with osteogenesis imperfecta.
Zhao D, Liu Y, Liu J, Hu J, Zhang Q, Wang O, Jiang Y, Xia W, Xing X, Li M
Front Endocrinol (Lausanne) 2022;13:1004946. Epub 2022 Oct 20 doi: 10.3389/fendo.2022.1004946. PMID: 36339400Free PMC Article
Evaluating strict and conventional left bundle branch block criteria using electrocardiographic simulations.
Galeotti L, van Dam PM, Loring Z, Chan D, Strauss DG
Europace 2013 Dec;15(12):1816-21. Epub 2013 May 23 doi: 10.1093/europace/eut132. PMID: 23703366
Criteria for intraventricular conduction disturbances and pre-excitation. World Health Organizational/International Society and Federation for Cardiology Task Force Ad Hoc.
Willems JL, Robles de Medina EO, Bernard R, Coumel P, Fisch C, Krikler D, Mazur NA, Meijler FL, Mogensen L, Moret P
J Am Coll Cardiol 1985 Jun;5(6):1261-75. doi: 10.1016/s0735-1097(85)80335-1. PMID: 3889097

Recent clinical studies

Etiology

Electrocardiographic interpretation in athletes.
Abela M, Sharma S
Minerva Cardiol Angiol 2021 Oct;69(5):533-556. Epub 2020 Oct 15 doi: 10.23736/S2724-5683.20.05331-1. PMID: 33059398
Progression of incomplete toward complete left bundle branch block: A clinical and electrocardiographic analysis.
Senesael E, Calle S, Kamoen V, Stroobandt R, De Buyzere M, Timmermans F, De Pooter J
Ann Noninvasive Electrocardiol 2020 Jul;25(4):e12732. Epub 2019 Dec 11 doi: 10.1111/anec.12732. PMID: 31823461Free PMC Article
Diagnosis of right bundle branch block: a concordance study.
Alventosa-Zaidin M, Pera G, Roca Saumell C, Mengual Miralles N, Zamora Sanchez MV, Gros Garcia T, Guix Font L, Benitez Camps M, Francisco-Pascual J, Brugada Terradellas J
BMC Fam Pract 2019 May 6;20(1):58. doi: 10.1186/s12875-019-0946-3. PMID: 31060516Free PMC Article
Intracardiac Delineation of Septal Conduction in Left Bundle-Branch Block Patterns.
Upadhyay GA, Cherian T, Shatz DY, Beaser AD, Aziz Z, Ozcan C, Broman MT, Nayak HM, Tung R
Circulation 2019 Apr 16;139(16):1876-1888. doi: 10.1161/CIRCULATIONAHA.118.038648. PMID: 30704273
Brugada syndrome.
Napolitano C, Priori SG
Orphanet J Rare Dis 2006 Sep 14;1:35. doi: 10.1186/1750-1172-1-35. PMID: 16972995Free PMC Article

Diagnosis

Incomplete right bundle branch block: Challenges in electrocardiogram diagnosis.
Floria M, Parteni N, Neagu AI, Sascau RA, Statescu C, Tanase DM
Anatol J Cardiol 2021 Jun;25(6):380-384. doi: 10.5152/AnatolJCardiol.2021.84375. PMID: 34100724Free PMC Article
Electrocardiographic interpretation in athletes.
Abela M, Sharma S
Minerva Cardiol Angiol 2021 Oct;69(5):533-556. Epub 2020 Oct 15 doi: 10.23736/S2724-5683.20.05331-1. PMID: 33059398
Young athletes' ECG: Incomplete right bundle branch block vs crista supraventricularis pattern.
Diaz-Gonzalez L, Bruña V, Velásquez-Rodriguez J, Valenzuela PL, Valero-Masa MJ, González-Saldívar H, Martinez-Sellés M, Lucia A, Boraita A
Scand J Med Sci Sports 2020 Oct;30(10):1992-1998. Epub 2020 Jul 24 doi: 10.1111/sms.13763. PMID: 32640481
Diagnosis of right bundle branch block: a concordance study.
Alventosa-Zaidin M, Pera G, Roca Saumell C, Mengual Miralles N, Zamora Sanchez MV, Gros Garcia T, Guix Font L, Benitez Camps M, Francisco-Pascual J, Brugada Terradellas J
BMC Fam Pract 2019 May 6;20(1):58. doi: 10.1186/s12875-019-0946-3. PMID: 31060516Free PMC Article
Brugada syndrome.
Francis J, Antzelevitch C
Int J Cardiol 2005 May 25;101(2):173-8. doi: 10.1016/j.ijcard.2004.03.068. PMID: 15882659Free PMC Article

Therapy

Long-term outcome of intraventricular conduction delays in the general population.
Rankinen J, Haataja P, Lyytikäinen LP, Huhtala H, Lehtimäki T, Kähönen M, Eskola M, Pérez-Riera AR, Jula A, Rissanen H, Nikus K, Hernesniemi J
Ann Noninvasive Electrocardiol 2021 Jan;26(1):e12788. Epub 2020 Aug 17 doi: 10.1111/anec.12788. PMID: 32804416Free PMC Article
The prevalence of electrocardiogram abnormalities in professional divers.
Gunes AE, Cimsit M
Diving Hyperb Med 2017 Mar;47(1):55-58. doi: 10.28920/dhm47.1.55-58. PMID: 28357825Free PMC Article
Findings From 12-lead Electrocardiography That Predict Circulatory Shock From Pulmonary Embolism: Systematic Review and Meta-analysis.
Shopp JD, Stewart LK, Emmett TW, Kline JA
Acad Emerg Med 2015 Oct;22(10):1127-37. Epub 2015 Sep 22 doi: 10.1111/acem.12769. PMID: 26394330Free PMC Article
Incomplete left bundle branch block as an artefact caused by the Nuss procedure for pectus excavatum.
Gräfe D, Fitze G, Heilmann A
Europace 2011 Feb;13(2):258-61. Epub 2010 Dec 4 doi: 10.1093/europace/euq425. PMID: 21131652
Brugada syndrome.
Napolitano C, Priori SG
Orphanet J Rare Dis 2006 Sep 14;1:35. doi: 10.1186/1750-1172-1-35. PMID: 16972995Free PMC Article

Prognosis

Electrocardiographic findings associated with early clinical deterioration in acute pulmonary embolism.
Weekes AJ, Raper JD, Thomas AM, Lupez K, Cox CA, Esener D, Boyd JS, Nomura JT, Davison J, Ockerse PM, Leech S, Abrams E, Kelly C, O'Connell NS
Acad Emerg Med 2022 Oct;29(10):1185-1196. Epub 2022 Jul 20 doi: 10.1111/acem.14554. PMID: 35748352Free PMC Article
Acute myocardial infarction with right bundle branch block at presentation: Prevalence and mortality.
Figueroa-Triana JF, Mora-Pabón G, Quitian-Moreno J, Álvarez-Gaviria M, Idrovo C, Cabrera JS, Peñuela JAR, Caballero Y, Naranjo M
J Electrocardiol 2021 May-Jun;66:38-42. Epub 2021 Feb 25 doi: 10.1016/j.jelectrocard.2021.02.009. PMID: 33770645
Progression of incomplete toward complete left bundle branch block: A clinical and electrocardiographic analysis.
Senesael E, Calle S, Kamoen V, Stroobandt R, De Buyzere M, Timmermans F, De Pooter J
Ann Noninvasive Electrocardiol 2020 Jul;25(4):e12732. Epub 2019 Dec 11 doi: 10.1111/anec.12732. PMID: 31823461Free PMC Article
Right bundle branch block: Prevalence, incidence, and cardiovascular morbidity and mortality in the general population.
Alventosa-Zaidin M, Guix Font L, Benitez Camps M, Roca Saumell C, Pera G, Alzamora Sas MT, Forés Raurell R, Rebagliato Nadal O, Dalfó-Baqué A, Brugada Terradellas J
Eur J Gen Pract 2019 Jul;25(3):109-115. Epub 2019 Jul 24 doi: 10.1080/13814788.2019.1639667. PMID: 31339387Free PMC Article
Intracardiac Delineation of Septal Conduction in Left Bundle-Branch Block Patterns.
Upadhyay GA, Cherian T, Shatz DY, Beaser AD, Aziz Z, Ozcan C, Broman MT, Nayak HM, Tung R
Circulation 2019 Apr 16;139(16):1876-1888. doi: 10.1161/CIRCULATIONAHA.118.038648. PMID: 30704273

Clinical prediction guides

Electrocardiographic interpretation in athletes.
Abela M, Sharma S
Minerva Cardiol Angiol 2021 Oct;69(5):533-556. Epub 2020 Oct 15 doi: 10.23736/S2724-5683.20.05331-1. PMID: 33059398
Young athletes' ECG: Incomplete right bundle branch block vs crista supraventricularis pattern.
Diaz-Gonzalez L, Bruña V, Velásquez-Rodriguez J, Valenzuela PL, Valero-Masa MJ, González-Saldívar H, Martinez-Sellés M, Lucia A, Boraita A
Scand J Med Sci Sports 2020 Oct;30(10):1992-1998. Epub 2020 Jul 24 doi: 10.1111/sms.13763. PMID: 32640481
Progression of incomplete toward complete left bundle branch block: A clinical and electrocardiographic analysis.
Senesael E, Calle S, Kamoen V, Stroobandt R, De Buyzere M, Timmermans F, De Pooter J
Ann Noninvasive Electrocardiol 2020 Jul;25(4):e12732. Epub 2019 Dec 11 doi: 10.1111/anec.12732. PMID: 31823461Free PMC Article
Diagnosis of right bundle branch block: a concordance study.
Alventosa-Zaidin M, Pera G, Roca Saumell C, Mengual Miralles N, Zamora Sanchez MV, Gros Garcia T, Guix Font L, Benitez Camps M, Francisco-Pascual J, Brugada Terradellas J
BMC Fam Pract 2019 May 6;20(1):58. doi: 10.1186/s12875-019-0946-3. PMID: 31060516Free PMC Article
Intracardiac Delineation of Septal Conduction in Left Bundle-Branch Block Patterns.
Upadhyay GA, Cherian T, Shatz DY, Beaser AD, Aziz Z, Ozcan C, Broman MT, Nayak HM, Tung R
Circulation 2019 Apr 16;139(16):1876-1888. doi: 10.1161/CIRCULATIONAHA.118.038648. PMID: 30704273

Recent systematic reviews

Findings From 12-lead Electrocardiography That Predict Circulatory Shock From Pulmonary Embolism: Systematic Review and Meta-analysis.
Shopp JD, Stewart LK, Emmett TW, Kline JA
Acad Emerg Med 2015 Oct;22(10):1127-37. Epub 2015 Sep 22 doi: 10.1111/acem.12769. PMID: 26394330Free PMC Article

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