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Incomplete Right Bundle Branch Block by ECG Finding

MedGen UID:
810986
•Concept ID:
C2215972
•
Finding
Synonyms: Incomplete Right Bundle Branch Block; Incomplete Right Bundle Branch Block by EKG Finding

Definition

An electrocardiographic finding of a wide QRS complex with evidence of delayed conduction to the right ventricle, manifested by a widened initial portion of the QRS in V1 and V2, a widened S wave in V5, V6, I and aVL, and with QRS duration less than 120 ms. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIncomplete Right Bundle Branch Block by ECG Finding

Professional guidelines

PubMed

ISE/ISHNE expert consensus statement on the ECG diagnosis of left ventricular hypertrophy: The change of the paradigm.
Bacharova L, Chevalier P, Gorenek B, Jons C, Li YG, Locati ET, Maanja M, Pérez-Riera AR, Platonov PG, Ribeiro ALP, Schocken D, Soliman EZ, Svehlikova J, Tereshchenko LG, Ugander M, Varma N, Elena Z, Ikeda T
Ann Noninvasive Electrocardiol 2024 Jan;29(1):e13097. Epub 2023 Nov 24 doi: 10.1111/anec.13097. PMID: 37997698Free PMC Article
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

Recent clinical studies

Etiology

Obesity and Cardiac Conduction Block Disease in China.
Liu P, Wang Y, Zhang X, Zhang Z, Zhao N, Ou W, Wang G, Yang X, Li M, Zhang Y, Yang X, Wu S
JAMA Netw Open 2023 Nov 1;6(11):e2342831. doi: 10.1001/jamanetworkopen.2023.42831. PMID: 37955899Free PMC Article
His-Purkinje Conduction System Pacing Optimized Trial of Cardiac Resynchronization Therapy vs Biventricular Pacing: HOT-CRT Clinical Trial.
Vijayaraman P, Pokharel P, Subzposh FA, Oren JW, Storm RH, Batul SA, Beer DA, Hughes G, Leri G, Manganiello M, Jastremsky JL, Mroczka K, Johns AM, Mascarenhas V
JACC Clin Electrophysiol 2023 Dec;9(12):2628-2638. Epub 2023 Sep 13 doi: 10.1016/j.jacep.2023.08.003. PMID: 37715742
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
Electrocardiographic QRS duration and the risk of congestive heart failure: the Framingham Heart Study.
Dhingra R, Pencina MJ, Wang TJ, Nam BH, Benjamin EJ, Levy D, Larson MG, Kannel WB, D'Agostino RB Sr, Vasan RS
Hypertension 2006 May;47(5):861-7. Epub 2006 Apr 3 doi: 10.1161/01.HYP.0000217141.20163.23. PMID: 16585411
Left axis deviation in healthy infants and children.
Calcaterra G, Puglisi R
Int J Cardiol 1989 Aug;24(2):236-8. doi: 10.1016/0167-5273(89)90312-4. PMID: 2767802

Diagnosis

Case 331.
Umer M, Sagheer U, Furtado W, Shotwell M, Joshi J, Shetty M, Kalra DK
Radiology 2024 Jul;312(1):e232440. doi: 10.1148/radiol.232440. PMID: 39078295
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
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
Non-invasive assessment of early cardiac involvement in systemic sclerosis.
Butrous GS, Dowd PM, Milne J, Dymond DS, Caplin J, Camm AJ
Postgrad Med J 1985 Aug;61(718):679-84. doi: 10.1136/pgmj.61.718.679. PMID: 4034457Free PMC Article
Q waves and coronary artery disease.
Hansen JF, Pedersen-Bjergaard O
Acta Med Scand 1979;206(3):193-5. doi: 10.1111/j.0954-6820.1979.tb13492.x. PMID: 158953

Therapy

His-Purkinje Conduction System Pacing Optimized Trial of Cardiac Resynchronization Therapy vs Biventricular Pacing: HOT-CRT Clinical Trial.
Vijayaraman P, Pokharel P, Subzposh FA, Oren JW, Storm RH, Batul SA, Beer DA, Hughes G, Leri G, Manganiello M, Jastremsky JL, Mroczka K, Johns AM, Mascarenhas V
JACC Clin Electrophysiol 2023 Dec;9(12):2628-2638. Epub 2023 Sep 13 doi: 10.1016/j.jacep.2023.08.003. PMID: 37715742
Brugada-type electrocardiographic pattern induced by epidural bupivacaine.
Phillips N, Priestley M, Denniss AR, Uther JB
Anesth Analg 2003 Jul;97(1):264-7, table of contents. doi: 10.1213/01.ane.0000067410.32384.3a. PMID: 12818979
Electrocardiographic screening in psychiatric patients.
Hollister LE
J Clin Psychiatry 1995 Jan;56(1):26-9. PMID: 7836336
Rhythm disturbances after blood and crystalloid cardioplegia in coronary artery bypass grafting.
Pehkonen EJ, Reinikainen PM, Kataja MJ, Tarkka MR
Scand J Thorac Cardiovasc Surg 1995;29(1):23-8. doi: 10.3109/14017439509107197. PMID: 7644905
Alternating left anterior hemiblock without associated tachycardia.
Cole TO, Mbanefo CO
Afr J Med Med Sci 1977 Dec;6(4):203-8. PMID: 97948

Prognosis

Intermittent advanced atrial depolarization abnormality?
Ariyarajah V, Ali M, Spodick DH
Cardiology 2008;110(1):68-72. Epub 2007 Oct 10 doi: 10.1159/000109409. PMID: 17934272
Electrocardiographic QRS duration and the risk of congestive heart failure: the Framingham Heart Study.
Dhingra R, Pencina MJ, Wang TJ, Nam BH, Benjamin EJ, Levy D, Larson MG, Kannel WB, D'Agostino RB Sr, Vasan RS
Hypertension 2006 May;47(5):861-7. Epub 2006 Apr 3 doi: 10.1161/01.HYP.0000217141.20163.23. PMID: 16585411
Rhythm disturbances after blood and crystalloid cardioplegia in coronary artery bypass grafting.
Pehkonen EJ, Reinikainen PM, Kataja MJ, Tarkka MR
Scand J Thorac Cardiovasc Surg 1995;29(1):23-8. doi: 10.3109/14017439509107197. PMID: 7644905
Left axis deviation in healthy infants and children.
Calcaterra G, Puglisi R
Int J Cardiol 1989 Aug;24(2):236-8. doi: 10.1016/0167-5273(89)90312-4. PMID: 2767802
Q waves and coronary artery disease.
Hansen JF, Pedersen-Bjergaard O
Acta Med Scand 1979;206(3):193-5. doi: 10.1111/j.0954-6820.1979.tb13492.x. PMID: 158953

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
Intermittent advanced atrial depolarization abnormality?
Ariyarajah V, Ali M, Spodick DH
Cardiology 2008;110(1):68-72. Epub 2007 Oct 10 doi: 10.1159/000109409. PMID: 17934272
Electrocardiographic QRS duration and the risk of congestive heart failure: the Framingham Heart Study.
Dhingra R, Pencina MJ, Wang TJ, Nam BH, Benjamin EJ, Levy D, Larson MG, Kannel WB, D'Agostino RB Sr, Vasan RS
Hypertension 2006 May;47(5):861-7. Epub 2006 Apr 3 doi: 10.1161/01.HYP.0000217141.20163.23. PMID: 16585411
Non-invasive assessment of early cardiac involvement in systemic sclerosis.
Butrous GS, Dowd PM, Milne J, Dymond DS, Caplin J, Camm AJ
Postgrad Med J 1985 Aug;61(718):679-84. doi: 10.1136/pgmj.61.718.679. PMID: 4034457Free PMC Article
Q waves and coronary artery disease.
Hansen JF, Pedersen-Bjergaard O
Acta Med Scand 1979;206(3):193-5. doi: 10.1111/j.0954-6820.1979.tb13492.x. PMID: 158953

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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