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Case Reports
. 2015 Nov;20(6):601-3.
doi: 10.1111/anec.12262. Epub 2015 Mar 27.

Total Masquerading Bundle Branch Block

Piotr Kukla  1 , Marek Jastrzębski  2 , Leszek Bryniarski  2
Affiliations
Case Reports

Total Masquerading Bundle Branch Block

Piotr Kukla et al. Ann Noninvasive Electrocardiol. 2015 Nov.

Abstract

We report a case of 82-year-old female with total masquerading bundle branch block. We discuss the problems with ECG analysis.

Keywords: left anterior hemiblock; masquerading bundle branch block; right bundle branch block.

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Figures

Figure 1
Figure 1
ECG with a paper speed 50 mm/s, showing narrow and wide QRS complexes. Black asterix indicates a wide QRS complex. ECG described in details in the text.
Figure 2
Figure 2
ECG with a paper speed 25 mm/s. The modified right precordial higher leads (H), V1 + H, and V2 + H (recorded one intercostal space above the standard position).
See this image and copyright information in PMC

References

    1. Elizari MV, Baranchuk A, Chiale PA. Masquerading bundle branch block: A variety of right bundle branch block with left anterior fascicular block. Expert Rev Cardiovasc Ther 2013;11(1):69–75. - PubMed
    1. Acunzo RS, Konopka IV, Sanchéz RA, et al. Right bundle branch block and middle septal fiber block with or without left anterior fascicular block manifested as aberrant conduction in apparent healthy individuals: Electro‐vectorcardiographic characterization. J Electrocardiol 2013;46(2):167–172. - PubMed
    1. Kukla P, Baranchuk A, Jastrzębski M, et al. Masquerading bundle branch block. Kardiol Pol 2014;72(1):67–69. - PubMed
    1. Chiale PA. High degree right bundle branch block with left anterior hemiblock and lateral fibrosis resembling an atypical left bundle branch block in the limb leads. Kardiol Pol 2014;72(1):70. - PubMed

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