right bundle branch block


Also found in: Acronyms, Wikipedia.

right bundle branch block (RBBB)

impaired transmission or absence of transmission of electric impulses from the atrioventricular (AV) bundle of His to the right ventricle. The block may be complete or incomplete and may be caused by a lesion in the right bundle branch or a small, focal lesion in the AV bundle. RBBB is often associated with right ventricular hypertrophy, especially in athletes and individuals under 40 years of age. In older individuals RBBB is commonly caused by coronary artery disease. A complete RBBB commonly occurs after surgical closure of a ventricular septal defect.

right bundle branch block

Cardiology A condition in which the electrical impulse from the bundle of His to the ventricles is delayed or fails to conduct along the right bundle branch, resulting in right ventricular depolarization by cell-to-cell conduction spreading from the interventricular septum and left ventricle to the right ventricle–ie, slow and uncoordinated Natural history Surgically induced RBBB has few acute hemodynamic consequences and a generally benign course long term; rarely, progression to complete heart block and sudden death occur, especially if accompanied by major His-Purkinje system–eg, left anterior hemiblock, first-degree AV block–injury; tetralogy of Fallot repair with an RBBB and a markedly prolonged QRS duration >180 ms have an ↑ risk for ventricular arrhythmias and sudden death; familial RBBB may be benign or, if it occurs in Kearns-Sayre syndrome or Brugada syndrome, potentially fatal Clinical Children with RBBB may have Hx of congenital heart disease, heart surgery–eg, VSD, palpitations, ↓ energy/activity/exercise tolerance, dizziness, syncope, familial Hx of arrhythmias–eg, BBB, complete heart block, pacemaker/defibrillator, premature or sudden unexplained death, acute MI under age 45; persistently split 2nd HS EKG Lead V1–late intrisicoid deflection, M-shaped QRS, wide R or occasionally qR; lead V6–early intinsicoid deflection, wide S; lead I–wide S Management Pacemaker, if syncope or significant arrhythmias Followup Telemetry prn; annual EKG. See Bundle branch block. Cf Left bundle branch block.

right bundle branch block

Abbreviation: RBBB
A defect in the conductive system of the heart in which electrical conduction down the right bundle branch is delayed. On the 12-lead EKG, it gives the widened QRS complex an RSR appearance in leads V1 and V2.
References in periodicals archive ?
Electrocardiogram (ECG) showed right axis deviation, right bundle branch block (RBBB), right ventricular hypertrophy and atrial fibrillation.
Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome.
5) Right bundle branch block 20 (10) Poor progression of r wave 24 (12) Right axis deviation 30 (15) ECG: Electrocardiographic, COPD: Chronic obstructive pulmonary disease, RVH: Right ventricular hypertrophy Table 2: ECHO findings in COPD ECHO parameter N (%) Right axis deviation 79 (39.
Among the patients with bundle branch block, the right bundle branch block was the most frequently observed, followed by the left anterior branch block.
in the AV node, in a patient who also has right bundle branch block.
In our case, right bundle branch block was found via ECG.
Eppinger and Rothberger in 1909 and 1910 first acknowledged the importance of the conduction system, yet a confusion of the pattern of the left bundle branch block with the right bundle branch block resulted, and persisted for 25 years.
This pattern of right bundle branch block has also been called J point elevation.
any kind of atrioventricular or intraventricular conditions or blocks such as complete left or right bundle branch block, AV node block, QTc or PR prolongation, premature atrial contractions or other atrial arrhythmia, sustained ventricular arrhythmia, two premature ventricular contractions in a row, ST elevation consistent with ischemia)
Her electrocardiogram revealed right bundle branch block escape rhythm (Fig.