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Netherlands Heart Journal logoLink to Netherlands Heart Journal
. 2004 May;12(5):226–229.

Coexistence of a bradycardia- and tachycardia-dependent bundle branch block

HMM Al Hashimi, AJJ van Es, T Szili-Torok, M Gardien, GP Molhoek, PMJ Verhorst
PMCID: PMC2497117  PMID: 25696331

Abstract

Aberrant ventricular conduction is a rare phenomenon as compared with the more frequently occurring antrioventricular conduction disturbances. It leads to widening of the QRS complex, which is either due to a complete or functional block in one of the bundle branches or a block within the intramyocardial conduction system itself. Mechanisms that are potentially involved in the genesis of aberrant ventricular conduction are sudden shortening of cycle length (tachycardia-dependent phase III), antegrade block with retrograde concealed conduction, or bradycardia-dependent block (enhanced phase IV). In this paper, we present a patient with aberrant ventricular conduction with the occurrence of a tachycardia-dependent, as well as a bradycardia-dependent bundle branch block, which is an even rarer phenomenon.

Keywords: bradycardia-dependent, bundle branch block, mechanism, tachycardia-dependent

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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