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. Author manuscript; available in PMC: 2010 Aug 11.
Published in final edited form as: Circulation. 2009 Jul 27;120(6):477. doi: 10.1161/CIRCULATIONAHA.108.838821

TABLE 4.

Sensitivity and Specificity of ECG Features

VARIABLES No RBBB IRBB CRBBB
Sensitivity Specificity Sensitivity Specificity Sensitivity Specificity
Repolarization Criteria
Right precordial T wave inversion through V2 84 (73–92) 89 (71–98) 80 (52–96) 73 (50–89) 76 (50–93) 62 (24–91)
Right precordial T wave inversion through V3 71 (58–81) 96 (81–100) 73 (45–92) 95 (77–100) 71 (44–90) 62 (24–91)
Right precordial T wave inversion through V4 51 (39–64) 96 (81–100) 60 (32–84) 100 (85–100) 59 (33–82) 88 (47–100)
T wave inversion in Inferior leads (2 out of 3) 41 (29–54) 93 (76–99) 47 (21–73) 100 (85–100) 53 (28–77) 87 (47–100)
Depolarization Criteria
Epsilon Wave 7 (2–16) 100 (87–100) 0 (0–15) 100 (78–100) 0 (0–37) 100 (80–100
QRS prolongation in right precordial leads QRS > 110ms 43 (31–55) 96 (81–100) 80 (52–96) 91 (71–99) 100 (80–100) 0 (0–37)
Parietal Block 13 (6–24) 96 (81–100) 40 (16–68) 91 (70–99) 47 (23–72) 50 (16–84)
Prolonged terminal activation duration 46 (33–58) 89 (71–98) 80 (52–96) 64 (41–83) 100 (80–100) 12 (0.32–53)
Increased ratio in QRSd of the right versus left precordial leads 22 (13–34) 79 (58–91) 40 (16–68) 91 (71–99) 35 (14–62) 37 (9–76)
r'/s ratio < 1 - - 93 (66–100) 5 (0.12–23) 88 (64–99) 86 (42–100)