bundle branch blocks


  • 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