bundle branch block EKG findings

  • related: Cardiology
  • source:
  • tags: #literature #cardiology

  • WilLiam MoRrow

RBBB

  • RSR in V1
  • slurred S in lateral leads
  • sometimes T wave inversion in precordial leads, appropriate discordance
  • incomplete RBBB: RSR in V1 but QRS < 120
  • M shape, then W shape

LBBB

  • Large S in V1; QS in V1 or rS (W shape)
  • Large R in lateral leads
  • Notched V6 (M)
  • W shape in V1, M shape in V6

1

Alternating

  • alternating LBBB and RBBB2

Footnotes

  1. https://litfl.com/right-bundle-branch-block-rbbb-ecg-library/

  2. CHEST Board Review Critical Care?