Second degree AV block, type I, with bradycardia-dependent RBBB

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Title Second degree AV block, type I, with bradycardia-dependent RBBB
Creator Yanowitz, Frank G.
Contributor Frank G. Yanowitz, MD, Professor of Cardiology, University of Utah School of Medicine
Date 1997-01-01
Description An interesting and unusual form of rate-dependent bundle branch block. Normal sinus rhythm at 85 bpm is present with a 3:2 and 2:1 2nd degree AV block. The progressive PR prolongation in the 3:2 block makes this a type-I or Wenckebach block.Long cycles end in RBBB; short cycles have normal QRS duration. This is, therefore, a Bradycardia-dependent RBBB. The mechanism is thought to be due to latent pacemaker activity in the right bundle partially depolarizing the bundle, thus making conduction down it more difficult.
Subtype Image
Format image/png
Rights http://creativecommons.org/licenses/by-nc-sa/1.0/
Collection Knowledge Weavers ECG
ARK ark:/87278/s65x58rf
Setname ehsl_heal
ID 870339
Reference URL https://collections.lib.utah.edu/ark:/87278/s65x58rf