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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- Lewis T. An Address ON CERTAIN PHYSICAL SIGNS OF MYOCARDIAL INVOLVEMENT: Delivered at the Opening of the North-East London Post-Graduate College. Br Med J. 1913 Mar 8;1(2723):484–489. doi: 10.1136/bmj.1.2723.484. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Massumi R. A. Bradycardia-dependent bundle-branch block. A critique and proposed criteria. Circulation. 1968 Dec;38(6):1066–1073. doi: 10.1161/01.cir.38.6.1066. [DOI] [PubMed] [Google Scholar]
- Parameswaran R., Monheit R., Goldberg H. Aberrant conduction due to retrograde activation of the right bundle branch. J Electrocardiol. 1970;3(2):173–175. doi: 10.1016/s0022-0736(70)80011-5. [DOI] [PubMed] [Google Scholar]
- Sarachek N. S. Bradycardia-dependent bundle branch block. Relation to supernormal conduction and phase 4 depolarization. Am J Cardiol. 1970 Jun;25(6):727–729. doi: 10.1016/0002-9149(70)90626-0. [DOI] [PubMed] [Google Scholar]

