Conduction system disease
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Conduction system disease is defined as an abnormality of either electrical impulse generation or conduction in the heart.
Classification
A heart block can be a blockage at any level of the electrical conduction system of the heart:
- SA Nodal Block: Blocks that occur within the sinoatrial node (SA node) are described as SA nodal blocks.
- AV Nodal Block: Blocks that occur within the atrioventricular node (AV node) are described as AV nodal blocks.
- Infra-Hisian Block: Blocks that occur below the AV node are known as Infra-Hisian blocks (named after the bundle of His).
- Bundle Branch Block: Blocks that occur within the left or right bundle branches are known as bundle branch blocks.
- Hemiblock: Blocks that occur within the fascicles of the left bundle branch are known as hemiblocks.
Clinically speaking, most of the important heart blocks are AV nodal blocks and infrahisian blocks.