Cardiovascular Medicine Book

http://www.fpnotebook.com/

Left Bundle Branch BlockAka: Right Bundle Branch Block, Left Anterior Hemiblock, Left Posterior Hemiblock

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  1. Left Bundle Branch Block EKG Findings
    1. Lead V1
      1. QS or rS
    2. Lead V6
      1. Late intrinsicoid deflection
      2. No Q wave
      3. Monophasic R Wave
    3. Lead I
      1. Monophasic R Wave
      2. No Q wave
  2. Right Bundle Branch Block EKG Findings
    1. Lead V1
      1. Late Intrinsicoid Deflection
      2. M-shaped QRS Complex
      3. Wide R Wave or qR (occasionally)
    2. Lead V6
      1. Early Intrinsicoid Deflection
      2. Wide S wave
    3. Lead I
      1. Wide S wave
  3. Left Anterior Hemiblock EKG Findings
    1. Left Axis Deviation (beyond -60 degrees)
    2. Small Q wave in Lead I
    3. Small R Wave in Lead III
    4. Normal QRS Duration
    5. No Right Ventricular Hypertrophy
  4. Left Posterior Hemiblock EKG Findings
    1. Right Axis Deviation (beyond +120 degrees)
    2. Small R Wave in Lead I
    3. Small Q wave in Lead III
    4. Normal QRS Duration
    5. No Right Ventricular Hypertrophy

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