Intraventricular conduction delay causes: Difference between revisions

Jump to navigation Jump to search
(Created page with "__NOTOC__ {{Intraventricular conduction delay}} {{CMG}}; {{AE}} {{M.P}} ==Overview== Intraventricular conduction delays(IVCDs) refers to abnormalities in the intraventricula...")
 
No edit summary
 
(12 intermediate revisions by 2 users not shown)
Line 5: Line 5:


==Overview==
==Overview==
Intraventricular conduction delays(IVCDs) refers to abnormalities in the intraventricular propagation of supraventricular impulses which can be due to pathology in the left bundle of His or its fascicular branches or the right bundle of His or their combination resulting in changes in the the [[QRS complex]].  Therefore the causes can be described on the site of pathology in the ventricular conduction system.
Intraventricular conduction delays(IVCDs) refers to abnormalities in the intraventricular propagation of supraventricular impulses.  These abnormalities can be due to pathology in either the left bundle of His or its fascicular branches or the right bundle of His or its combination resulting in changes to the [[QRS complex]].  Causes can be classified based upon the site of pathology in the ventricular conduction system as well as the associated medical condition.


==Causes==
==Causes==
===Life Threatening Causes===
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
*[[Acute coronary syndrome]]
*[[Cardiac transplantation]]
*[[cocaine abuse|Cocaine toxicity]]
*[[Digoxin toxicity]]
*[[Myocardial infarction]]
*[[Pulmonary embolism]]
===Common Causes===
===Common Causes===
*[[Cardiac catheterization]]
*[[Catheter ablation|Catheter ablation for arrhythmias]]
*[[COPD]]
*[[Dilated cardiomyopathy]]
*[[Heart failure]]
*[[Hypertensive heart disease]]
*[[Ischemic heart disease]]
*[[Left ventricular hypertrophy]]
*[[Myocardial infarction]]
*[[Restrictive cardiomyopathy]]
*[[Valvular heart disease]]
===Left Bundle Branch Block Causes===
===Left Bundle Branch Block Causes===
LBBB usually appears in patients with underlying heart disease such as [[hypertensive heart disease]], [[valvular heart disease]], [[cardiomyopathy]] etc.  Most patients with left ventricular hypertrophy and coronary artery disease of [[LAD]] show [[left bundle branch block]] (LBBB) conduction delay pattern seen on the surface [[electrocardiogram]] (ECG).
LBBB usually appears in patients with underlying heart disease such as [[hypertensive heart disease]], [[valvular heart disease]], [[cardiomyopathy]] etc.  Most patients with left ventricular hypertrophy and coronary artery disease of [[LAD]] show [[left bundle branch block]] (LBBB) conduction delay pattern on the surface [[electrocardiogram]] (ECG).


{{col-begin|width=80%}}
{{col-begin|width=80%}}
Line 20: Line 40:
* [[Cardiomyopathy]]<ref name="pmid23540937">{{cite journal |author=Wieslander B, Wu KC, Loring Z, ''et al.'' |title=Localization of myocardial scar in patients with cardiomyopathy and left bundle branch block using electrocardiographic Selvester QRS scoring |journal=Journal of Electrocardiology |volume= |issue= |pages= |year=2013 |month=March |pmid=23540937 |doi=10.1016/j.jelectrocard.2013.02.006 |url=}}</ref>
* [[Cardiomyopathy]]<ref name="pmid23540937">{{cite journal |author=Wieslander B, Wu KC, Loring Z, ''et al.'' |title=Localization of myocardial scar in patients with cardiomyopathy and left bundle branch block using electrocardiographic Selvester QRS scoring |journal=Journal of Electrocardiology |volume= |issue= |pages= |year=2013 |month=March |pmid=23540937 |doi=10.1016/j.jelectrocard.2013.02.006 |url=}}</ref>
* [[Chagas disease]]<ref name="pmid23078655">{{cite journal |author=Arce M, VAN Grieken J, Femenía F, Arrieta M, McIntyre WF, Baranchuk A |title=Permanent pacing in patients with Chagas' disease |journal=Pacing and Clinical Electrophysiology : PACE |volume=35 |issue=12 |pages=1494–7 |year=2012 |month=December |pmid=23078655 |doi=10.1111/pace.12013 |url=}}</ref>
* [[Chagas disease]]<ref name="pmid23078655">{{cite journal |author=Arce M, VAN Grieken J, Femenía F, Arrieta M, McIntyre WF, Baranchuk A |title=Permanent pacing in patients with Chagas' disease |journal=Pacing and Clinical Electrophysiology : PACE |volume=35 |issue=12 |pages=1494–7 |year=2012 |month=December |pmid=23078655 |doi=10.1111/pace.12013 |url=}}</ref>
* [[Coronary heart disease|Coronary artery disease]]
* [[Coronary heart disease]]
*[[Cushing's syndrome]]
* [[Digoxin toxicity]]
* [[Digoxin toxicity]]
* [[Dilated cardiomyopathy]]<ref name="pmid23052902">{{cite journal |author=Grimm W |title=Prophylactic implantable defibrillators in dilated cardiomyopathy |journal=Herz |volume=37 |issue=8 |pages=859–66 |year=2012 |month=December |pmid=23052902 |doi=10.1007/s00059-012-3687-9 |url=}}</ref><ref name="pmid22987362">{{cite journal |author=Foell D, Jung BA, Germann E, ''et al.'' |title=Segmental myocardial velocities in dilated cardiomyopathy with and without left bundle branch block |journal=Journal of Magnetic Resonance Imaging : JMRI |volume=37 |issue=1 |pages=119–26 |year=2013 |month=January |pmid=22987362 |doi=10.1002/jmri.23803 |url=}}</ref>
* [[Dilated cardiomyopathy]]<ref name="pmid23052902">{{cite journal |author=Grimm W |title=Prophylactic implantable defibrillators in dilated cardiomyopathy |journal=Herz |volume=37 |issue=8 |pages=859–66 |year=2012 |month=December |pmid=23052902 |doi=10.1007/s00059-012-3687-9 |url=}}</ref><ref name="pmid22987362">{{cite journal |author=Foell D, Jung BA, Germann E, ''et al.'' |title=Segmental myocardial velocities in dilated cardiomyopathy with and without left bundle branch block |journal=Journal of Magnetic Resonance Imaging : JMRI |volume=37 |issue=1 |pages=119–26 |year=2013 |month=January |pmid=22987362 |doi=10.1002/jmri.23803 |url=}}</ref>
Line 27: Line 48:
* [[Heart failure]]<ref name="pmid2358672">{{cite journal |author=Iscove NN, Yan XQ |title=Precursors (pre-CFCmulti) of multilineage hemopoietic colony-forming cells quantitated in vitro. Uniqueness of IL-1 requirement, partial separation from pluripotential colony-forming cells, and correlation with long term reconstituting cells in vivo |journal=Journal of Immunology (Baltimore, Md. : 1950) |volume=145 |issue=1 |pages=190–5 |year=1990 |month=July |pmid=2358672 |doi= |url=}}</ref><ref name="pmid23579010">{{cite journal |author=Kutyifa V, Pouleur AC, Knappe D, ''et al.'' |title=Dyssynchrony and the risk of ventricular arrhythmias |journal=JACC. Cardiovascular Imaging |volume=6 |issue=4 |pages=432–44 |year=2013 |month=April |pmid=23579010 |doi=10.1016/j.jcmg.2012.12.008 |url=}}</ref><ref name="pmid23512097">{{cite journal |author=Cinca J, Mendez A, Puig T, ''et al.'' |title=Differential clinical characteristics and prognosis of intraventricular conduction defects in patients with chronic heart failure |journal=European Journal of Heart Failure |volume= |issue= |pages= |year=2013 |month=March |pmid=23512097 |doi=10.1093/eurjhf/hft042 |url=}}</ref>
* [[Heart failure]]<ref name="pmid2358672">{{cite journal |author=Iscove NN, Yan XQ |title=Precursors (pre-CFCmulti) of multilineage hemopoietic colony-forming cells quantitated in vitro. Uniqueness of IL-1 requirement, partial separation from pluripotential colony-forming cells, and correlation with long term reconstituting cells in vivo |journal=Journal of Immunology (Baltimore, Md. : 1950) |volume=145 |issue=1 |pages=190–5 |year=1990 |month=July |pmid=2358672 |doi= |url=}}</ref><ref name="pmid23579010">{{cite journal |author=Kutyifa V, Pouleur AC, Knappe D, ''et al.'' |title=Dyssynchrony and the risk of ventricular arrhythmias |journal=JACC. Cardiovascular Imaging |volume=6 |issue=4 |pages=432–44 |year=2013 |month=April |pmid=23579010 |doi=10.1016/j.jcmg.2012.12.008 |url=}}</ref><ref name="pmid23512097">{{cite journal |author=Cinca J, Mendez A, Puig T, ''et al.'' |title=Differential clinical characteristics and prognosis of intraventricular conduction defects in patients with chronic heart failure |journal=European Journal of Heart Failure |volume= |issue= |pages= |year=2013 |month=March |pmid=23512097 |doi=10.1093/eurjhf/hft042 |url=}}</ref>
* [[Hemochromatosis]]<ref name="pmid11601557">{{cite journal |author=Hanson EH, Shue PM, Palm-Leis A, Rowley RK |title=An aviator with cardiomyopathy and genetic susceptibility to hereditary hemochromatosis: a case report |journal=Aviation, Space, and Environmental Medicine |volume=72 |issue=10 |pages=924–7 |year=2001 |month=October |pmid=11601557 |doi= |url=}}</ref>
* [[Hemochromatosis]]<ref name="pmid11601557">{{cite journal |author=Hanson EH, Shue PM, Palm-Leis A, Rowley RK |title=An aviator with cardiomyopathy and genetic susceptibility to hereditary hemochromatosis: a case report |journal=Aviation, Space, and Environmental Medicine |volume=72 |issue=10 |pages=924–7 |year=2001 |month=October |pmid=11601557 |doi= |url=}}</ref>
*[[Hypercalcemia]]
{{col-break|width=33%}}
{{col-break|width=33%}}
* [[Hyperkalemia]]
* [[Hyperkalemia]]
* [[Hypertension]]
* [[Hypertension]]
* [[Hypertensive cardiomyopathy]]
* [[Hypertensive cardiomyopathy]]
* [[Hypertrophic cardiomyopathy]]
*[[Hyperthyroidism]]
* [[Hypertrophic obstructive cardiomyopathy]] ([[HOCM]])
* [[Hypertrophic obstructive cardiomyopathy]] ([[HOCM]])
* [[Hypokalemia]]
*[[Ischemic cardiomyopathy]]<ref name="pmid23078655">{{cite journal |author=Arce M, VAN Grieken J, Femenía F, Arrieta M, McIntyre WF, Baranchuk A |title=Permanent pacing in patients with Chagas' disease |journal=Pacing and Clinical Electrophysiology : PACE |volume=35 |issue=12 |pages=1494–7 |year=2012 |month=December |pmid=23078655 |doi=10.1111/pace.12013 |url=}}</ref>
*[[Ischemic cardiomyopathy]]<ref name="pmid23078655">{{cite journal |author=Arce M, VAN Grieken J, Femenía F, Arrieta M, McIntyre WF, Baranchuk A |title=Permanent pacing in patients with Chagas' disease |journal=Pacing and Clinical Electrophysiology : PACE |volume=35 |issue=12 |pages=1494–7 |year=2012 |month=December |pmid=23078655 |doi=10.1111/pace.12013 |url=}}</ref>
*[[Ischemic heart disease]]
*[[Ischemic heart disease]]
Line 40: Line 64:
* [[Lenegre's disease]]<ref name="pmid1087803">{{cite journal |author=Davies MJ |title=Pathology of chronic A-V Block |journal=Acta Cardiologica |volume=Suppl 21 |issue= |pages=19–30 |year=1976 |pmid=1087803 |doi= |url=}}</ref>
* [[Lenegre's disease]]<ref name="pmid1087803">{{cite journal |author=Davies MJ |title=Pathology of chronic A-V Block |journal=Acta Cardiologica |volume=Suppl 21 |issue= |pages=19–30 |year=1976 |pmid=1087803 |doi= |url=}}</ref>
* [[Lev's disease]]<ref name="pmid1087803">{{cite journal |author=Davies MJ |title=Pathology of chronic A-V Block |journal=Acta Cardiologica |volume=Suppl 21 |issue= |pages=19–30 |year=1976 |pmid=1087803 |doi= |url=}}</ref>
* [[Lev's disease]]<ref name="pmid1087803">{{cite journal |author=Davies MJ |title=Pathology of chronic A-V Block |journal=Acta Cardiologica |volume=Suppl 21 |issue= |pages=19–30 |year=1976 |pmid=1087803 |doi= |url=}}</ref>
{{col-break|width=33%}}
{{col-break|width=33%}}
* [[Lyme disease]] <ref>http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8159.1990.tb04009.x/abstract</ref>
* [[Lyme disease]] <ref>http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8159.1990.tb04009.x/abstract</ref>
Line 45: Line 70:
* [[Myocardial ischemia]]
* [[Myocardial ischemia]]
* [[Myocarditis]]<ref name="pmid22388951">{{cite journal |author=Di Bella G, Florian A, Oreto L, ''et al.'' |title=Electrocardiographic findings and myocardial damage in acute myocarditis detected by cardiac magnetic resonance |journal=Clinical Research in Cardiology : Official Journal of the German Cardiac Society |volume=101 |issue=8 |pages=617–24 |year=2012 |month=August |pmid=22388951 |doi=10.1007/s00392-012-0433-5 |url=}}</ref><ref name="pmid21885134">{{cite journal |author=Deluigi CC, Ong P, Hill S, ''et al.'' |title=ECG findings in comparison to cardiovascular MR imaging in viral myocarditis |journal=International Journal of Cardiology |volume=165 |issue=1 |pages=100–6 |year=2013 |month=April |pmid=21885134 |doi=10.1016/j.ijcard.2011.07.090 |url=}}</ref>
* [[Myocarditis]]<ref name="pmid22388951">{{cite journal |author=Di Bella G, Florian A, Oreto L, ''et al.'' |title=Electrocardiographic findings and myocardial damage in acute myocarditis detected by cardiac magnetic resonance |journal=Clinical Research in Cardiology : Official Journal of the German Cardiac Society |volume=101 |issue=8 |pages=617–24 |year=2012 |month=August |pmid=22388951 |doi=10.1007/s00392-012-0433-5 |url=}}</ref><ref name="pmid21885134">{{cite journal |author=Deluigi CC, Ong P, Hill S, ''et al.'' |title=ECG findings in comparison to cardiovascular MR imaging in viral myocarditis |journal=International Journal of Cardiology |volume=165 |issue=1 |pages=100–6 |year=2013 |month=April |pmid=21885134 |doi=10.1016/j.ijcard.2011.07.090 |url=}}</ref>
*[[Pheochromocytoma]]
* [[Postpartum cardiomyopathy]]
* [[Postpartum cardiomyopathy]]
* [[Restrictive cardiomyopathy]]
* [[Restrictive cardiomyopathy]]
Line 54: Line 80:
*[[Valvular heart disease]]
*[[Valvular heart disease]]
{{col-end}}
{{col-end}}
===Right Bundle Branch Block Causes===
RBBB is a common finding in the general population when compared to LBBB, and many persons with RBBB have no clinical evidence of underlying heart disease.  Right side valvular heart diseases, [[COPD]], [[coronary artery disease]] show [[right bundle branch block]] (RBBB) conduction delay pattern on the surface [[electrocardiogram]] (ECG).
{{col-begin|width=80%}}
{{col-break|width=33%}}
*[[Atrial septal defect]]
*[[Cardiac catheterization]]
*[[Cardiac transplantation]]
*[[Cardiomyopathy]]
*[[Chagas disease]]
*[[Citalopram|Citalopram toxicity]]
*[[Cocaine abuse]]
*[[COPD]]
*[[Cor pulmonale]]
*[[Coronary artery disease]]
*[[Ebstein anomaly]]
*[[Fabry disease]]
*[[Familial]]
*[[Heart failure]]
*[[HIV]]
{{col-break|width=33%}}
*[[Hyperkalemia]]
*[[Hypertension]]
*[[Infective endocarditis]]
*[[Left ventricular noncompaction]]
*[[Kearns-Sayre Syndrome]]
*[[Lev's disease]]
*[[Lyme disease]]
*[[Muscular dystrophy]]
*[[Myocardial infarction]]
*[[Myocarditis]]
*[[Myotonic dystrophy]]
*[[Naloxone]]
*[[Oxycodone]]
*[[Polymyositis]]
{{col-break|width=33%}}
*[[Ventricular septal defect surgery|Post cardiac surgery]]
*[[Propafenone]]
*[[Pulmonary artery catheterization]]
*[[Pulmonary embolism]]
*[[Pulmonary hypertension]]
*[[Pulmonic stenosis]]
*[[Ritonavir]]
*[[Sarcoidosis]]
*[[Hypertrophic cardiomyopathy alcohol septal ablation|Septal ablation]]
*[[Systemic lupus erythematosus]]
*[[Thrombolytic therapy]]
*[[Transjugular intrahepatic portosystemic shunt]]
*[[Commotio cordis|Trauma]]
*[[Valvular heart disease]]
{{col-end}}
===Left Anterior Fascicular Block Causes===
Isolated LAFB is very common when compared to LPFB.  This conduction delay pattern on ECG may be seen with [[hypertension]], [[aortic valve disease]], coronary disease of LAD artery septal branch and sometimes in general population without identifiable cause.
{{col-begin|width=80%}}
{{col-break|width=33%}}
*[[Acute coronary syndrome]]
*[[Aging]]
*[[Hypertrophic cardiomyopathy alcohol septal ablation|Alcohol septal ablation]]
*[[Aortic regurgitation]]
*[[Aortic stenosis]]
*[[Athletes]]
*[[Atrial septal defect]]
{{col-break|width=33%}}
*[[Cardiac surgery]]
*[[Catheter ablation|Catheter ablation for arrhythmias]]
*[[Chagas disease]]
*[[Congestive heart failure]]
*[[Dilated cardiomyopathy]]
*[[Hypertension]]
*[[Ischemic heart disease]]
{{col-break|width=33%}}
*[[Left ventricular hypertrophy]]
*[[Lenegre's disease]]
*[[Lev's disease]]
*[[Myocardial infarction]]
*[[TAVI|Transcatheter aortic valve implantation (TAVI)]]
*[[Catheter ablation|Transcatheter closure of VSD]]
*[[VSD|VSD repair]]
{{col-end}}
===Left Posterior Fascicular Block Causes===
Isolated LPFB is very rare when compared to LAFB.  Most often it occurs with RBBB in patients with chronic lung disease and right ventricular hypertrophy.
{{col-begin|width=80%}}
{{col-break|width=33%}}
*[[Atrial septal defect]]
*[[Cardiac catheterization]]
*[[Cardiac transplantation]]
*[[Cardiomyopathy]]
*[[Chagas disease]]
*[[COPD]]
*[[Cor pulmonale]]
*[[Coronary artery disease]]
*[[Ebstein anomaly]]
*[[Fabry disease]]
{{col-break|width=33%}}
*[[Heart failure]]
*[[Hypertension]]
*[[Infective endocarditis]]
*[[Left ventricular noncompaction]]
*[[Kearns-Sayre Syndrome]]
*[[Lev's disease]]
*[[Lyme disease]]
*[[Muscular dystrophy]]
*[[Myocardial infarction]]
*[[Myocarditis]]
{{col-break|width=33%}}
*[[Myotonic dystrophy]]
*[[Ventricular septal defect surgery|Post cardiac surgery]]
*[[Pulmonary artery catheterization]]
*[[Pulmonary embolism]]
*[[Pulmonary hypertension]]
*[[Pulmonic stenosis]]
*[[Sarcoidosis]]
*[[Hypertrophic cardiomyopathy alcohol septal ablation|Septal ablation]]
*[[Systemic lupus erythematosus]]
*[[Valvular heart disease]]
{{col-end}}
===Left Median Fascicular Block Causes===
Isolate LMFB that occurs due to pathology involving [[interventricular septum]] is rare.  A number of neuromuscular diseases are associated with fascicular block.
{{col-begin|width=80%}}
{{col-break|width=33%}}
*[[Coronary artery disease]]
*[[Fabry disease]]
*[[Hypertension]]
*[[Hypertrophic cardiomyopathy]]
*[[Kearns-Sayre Syndrome]]
{{col-break|width=33%}}
*[[Lev's disease]]
*[[Lyme disease]]
*[[Muscular dystrophy]]
*[[Myocardial infarction]]
{{col-break|width=33%}}
*[[Myotonic dystrophy]]
*[[Polymyositis]]
*[[Hypertrophic cardiomyopathy alcohol septal ablation|Septal ablation]]
*[[Valvular heart disease]]
{{col-end}}
===Multifascicular Block Causes===
Multifascicular block refers to conduction delay or block in more than one of the structural components of the specialized conduction system—that is, the left bundle branch, the left anterior and posterior fascicles of the left bundle branch, and the right bundle branch.  Conduction delay in any two fascicles is termed bifascicular block, and delay in all three fascicles is termed trifascicular block.  Causes of multifascicular block are those which cause individual blocks and the most common are [[LVH]], [[RVH]] and [[coronary heart disease]].


==References==
==References==
Line 61: Line 240:
{{WS}}
{{WS}}


[[Category:Crowdiagnosis]]
[[Category:Arrhythmia]]
[[Category:Arrhythmia]]
[[Category:Cardiology]]
[[Category:Cardiology]]

Latest revision as of 14:35, 9 September 2013

Intraventricular conduction delay Microchapters

Home

Overview

Anatomy and Physiology

Classification

Pathophysiology

Causes

Differentiating Intraventricular conduction delay from other Disorders

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

EKG Examples

Chest X Ray

Echocardiography

Coronary Angiography

Treatment

Medical Therapy

Electrical Cardioversion

Ablation

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Intraventricular conduction delay causes On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Intraventricular conduction delay causes

CDC onIntraventricular conduction delay causes

Intraventricular conduction delay causes in the news

Blogs on Intraventricular conduction delay causes

to Hospitals Treating Intraventricular conduction delay causes

Risk calculators and risk factors for Intraventricular conduction delay causes

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mugilan Poongkunran M.B.B.S [2]

Overview

Intraventricular conduction delays(IVCDs) refers to abnormalities in the intraventricular propagation of supraventricular impulses. These abnormalities can be due to pathology in either the left bundle of His or its fascicular branches or the right bundle of His or its combination resulting in changes to the QRS complex. Causes can be classified based upon the site of pathology in the ventricular conduction system as well as the associated medical condition.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Left Bundle Branch Block Causes

LBBB usually appears in patients with underlying heart disease such as hypertensive heart disease, valvular heart disease, cardiomyopathy etc. Most patients with left ventricular hypertrophy and coronary artery disease of LAD show left bundle branch block (LBBB) conduction delay pattern on the surface electrocardiogram (ECG).

Right Bundle Branch Block Causes

RBBB is a common finding in the general population when compared to LBBB, and many persons with RBBB have no clinical evidence of underlying heart disease. Right side valvular heart diseases, COPD, coronary artery disease show right bundle branch block (RBBB) conduction delay pattern on the surface electrocardiogram (ECG).

Left Anterior Fascicular Block Causes

Isolated LAFB is very common when compared to LPFB. This conduction delay pattern on ECG may be seen with hypertension, aortic valve disease, coronary disease of LAD artery septal branch and sometimes in general population without identifiable cause.

Left Posterior Fascicular Block Causes

Isolated LPFB is very rare when compared to LAFB. Most often it occurs with RBBB in patients with chronic lung disease and right ventricular hypertrophy.

Left Median Fascicular Block Causes

Isolate LMFB that occurs due to pathology involving interventricular septum is rare. A number of neuromuscular diseases are associated with fascicular block.

Multifascicular Block Causes

Multifascicular block refers to conduction delay or block in more than one of the structural components of the specialized conduction system—that is, the left bundle branch, the left anterior and posterior fascicles of the left bundle branch, and the right bundle branch. Conduction delay in any two fascicles is termed bifascicular block, and delay in all three fascicles is termed trifascicular block. Causes of multifascicular block are those which cause individual blocks and the most common are LVH, RVH and coronary heart disease.

References

  1. Nakajima M, Aomi S, Matsuda N, Kasanuki H, Endo M, Kurosawa H (2003). "Simultaneous biventricular pacemaker implantation for a surgical case of aortic regurgitation with severe left ventricular dysfunction and left bundle branch block". The Journal of Thoracic and Cardiovascular Surgery. 125 (5): 1167–9. doi:10.1067/mtc.2003.304. PMID 12771896. Unknown parameter |month= ignored (help)
  2. Wieslander B, Wu KC, Loring Z; et al. (2013). "Localization of myocardial scar in patients with cardiomyopathy and left bundle branch block using electrocardiographic Selvester QRS scoring". Journal of Electrocardiology. doi:10.1016/j.jelectrocard.2013.02.006. PMID 23540937. Unknown parameter |month= ignored (help)
  3. 3.0 3.1 Arce M, VAN Grieken J, Femenía F, Arrieta M, McIntyre WF, Baranchuk A (2012). "Permanent pacing in patients with Chagas' disease". Pacing and Clinical Electrophysiology : PACE. 35 (12): 1494–7. doi:10.1111/pace.12013. PMID 23078655. Unknown parameter |month= ignored (help)
  4. Grimm W (2012). "Prophylactic implantable defibrillators in dilated cardiomyopathy". Herz. 37 (8): 859–66. doi:10.1007/s00059-012-3687-9. PMID 23052902. Unknown parameter |month= ignored (help)
  5. Foell D, Jung BA, Germann E; et al. (2013). "Segmental myocardial velocities in dilated cardiomyopathy with and without left bundle branch block". Journal of Magnetic Resonance Imaging : JMRI. 37 (1): 119–26. doi:10.1002/jmri.23803. PMID 22987362. Unknown parameter |month= ignored (help)
  6. Stein R, Ho M, Oliveira CM; et al. (2011). "Exercise-induced left bundle branch block: prevalence and prognosis". Arquivos Brasileiros De Cardiologia. 97 (1): 26–32. PMID 21552647. Unknown parameter |month= ignored (help)
  7. Iscove NN, Yan XQ (1990). "Precursors (pre-CFCmulti) of multilineage hemopoietic colony-forming cells quantitated in vitro. Uniqueness of IL-1 requirement, partial separation from pluripotential colony-forming cells, and correlation with long term reconstituting cells in vivo". Journal of Immunology (Baltimore, Md. : 1950). 145 (1): 190–5. PMID 2358672. Unknown parameter |month= ignored (help)
  8. Kutyifa V, Pouleur AC, Knappe D; et al. (2013). "Dyssynchrony and the risk of ventricular arrhythmias". JACC. Cardiovascular Imaging. 6 (4): 432–44. doi:10.1016/j.jcmg.2012.12.008. PMID 23579010. Unknown parameter |month= ignored (help)
  9. Cinca J, Mendez A, Puig T; et al. (2013). "Differential clinical characteristics and prognosis of intraventricular conduction defects in patients with chronic heart failure". European Journal of Heart Failure. doi:10.1093/eurjhf/hft042. PMID 23512097. Unknown parameter |month= ignored (help)
  10. Hanson EH, Shue PM, Palm-Leis A, Rowley RK (2001). "An aviator with cardiomyopathy and genetic susceptibility to hereditary hemochromatosis: a case report". Aviation, Space, and Environmental Medicine. 72 (10): 924–7. PMID 11601557. Unknown parameter |month= ignored (help)
  11. Rodrigues B, Correia E, Ferreira Santos L; et al. (2013). "Left bundle branch block, atrioventricular block, torsade de pointes and long QT syndrome: is this too much for a rare cardiomyopathy?". Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology. doi:10.1016/j.repc.2012.06.018. PMID 23618687. Unknown parameter |month= ignored (help)
  12. Gerecke B, Engberding R (2012). "[Isolated noncompaction cardiomyopathy with special emphasis on arrhythmia complications]". Herzschrittmachertherapie & Elektrophysiologie (in German). 23 (3): 201–10. doi:10.1007/s00399-012-0226-6. PMID 23008085. Unknown parameter |month= ignored (help)
  13. 13.0 13.1 Davies MJ (1976). "Pathology of chronic A-V Block". Acta Cardiologica. Suppl 21: 19–30. PMID 1087803.
  14. http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8159.1990.tb04009.x/abstract
  15. Di Bella G, Florian A, Oreto L; et al. (2012). "Electrocardiographic findings and myocardial damage in acute myocarditis detected by cardiac magnetic resonance". Clinical Research in Cardiology : Official Journal of the German Cardiac Society. 101 (8): 617–24. doi:10.1007/s00392-012-0433-5. PMID 22388951. Unknown parameter |month= ignored (help)
  16. Deluigi CC, Ong P, Hill S; et al. (2013). "ECG findings in comparison to cardiovascular MR imaging in viral myocarditis". International Journal of Cardiology. 165 (1): 100–6. doi:10.1016/j.ijcard.2011.07.090. PMID 21885134. Unknown parameter |month= ignored (help)
  17. Kumar PD, Sahasranam KV, Chandrasekharan KG (1993). "Deceleration--dependent left bundle branch block in rheumatic carditis". The Journal of the Association of Physicians of India. 41 (3): 171–2. PMID 8226603. Unknown parameter |month= ignored (help)
  18. Yahalom M, Jerushalmi J, Roguin N (1990). "Adult acute rheumatic fever: a rare case presenting with left bundle branch block". Pacing and Clinical Electrophysiology : PACE. 13 (1): 123–7. PMID 1689027. Unknown parameter |month= ignored (help)
  19. Dechering DG, Kochhäuser S, Wasmer K; et al. (2013). "Electrophysiological characteristics of ventricular tachyarrhythmias in cardiac sarcoidosis versus arrhythmogenic right ventricular cardiomyopathy". Heart Rhythm : the Official Journal of the Heart Rhythm Society. 10 (2): 158–64. doi:10.1016/j.hrthm.2012.10.019. PMID 23070261. Unknown parameter |month= ignored (help)
  20. Femenía F, Arce M, Arrieta M (2010). "[Systemic sclerosis complicated with syncope and complete AV block]". Medicina (in Spanish; Castilian). 70 (5): 442–4. PMID 20920962.
  21. Urena M, Mok M, Serra V; et al. (2012). "Predictive factors and long-term clinical consequences of persistent left bundle branch block following transcatheter aortic valve implantation with a balloon-expandable valve". Journal of the American College of Cardiology. 60 (18): 1743–52. doi:10.1016/j.jacc.2012.07.035. PMID 23040577. Unknown parameter |month= ignored (help)
  22. Colombo A, Latib A (2012). "Left bundle branch block after transcatheter aortic valve implantation: inconsequential or a clinically important endpoint?". Journal of the American College of Cardiology. 60 (18): 1753–5. doi:10.1016/j.jacc.2012.07.034. PMID 23040576. Unknown parameter |month= ignored (help)

Template:WH Template:WS