Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1970 Nov;32(6):847–851. doi: 10.1136/hrt.32.6.847

Right bundle-branch block and left axis deviation in acute myocardial infarction.

J C Roos, A J Dunning
PMCID: PMC487424  PMID: 5212360

Abstract

Of 114 patients with acute myocardial infarction admitted consecutively to a coronary care unit, 10 had recent antero-septal myocardial infarction associated with right bundle-branch block and obvious left axis deviation, and I had recent antero-septal myocardial infarction with right bundle-branch block and right axis deviation. Attention is drawn to the high mortality (7 out of 11 patients), due mainly to cardiogenic shock. Frequent complications were sudden complete heart block (5 patients) and ventricular asystole (4 patients) without previous lengthening of the atrioventricular conduction time. An external on-demand pacemaker was inserted in 10 patients, and no patient died of complete heart block or ventricular asystole.

Full text

PDF
847

Images in this article

Selected References

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

  1. Entman M. L., Estes E. H., Jr, Hackel D. B. The pathologic basis of the electrocardiographic pattern of parietal block. Am Heart J. 1967 Aug;74(2):202–207. doi: 10.1016/0002-8703(67)90278-5. [DOI] [PubMed] [Google Scholar]
  2. GRANT R. P. Left axis deviation; an electrocardiographic-pathologic correlation study. Circulation. 1956 Aug;14(2):233–249. doi: 10.1161/01.cir.14.2.233. [DOI] [PubMed] [Google Scholar]
  3. LENEGRE J. ETIOLOGY AND PATHOLOGY OF BILATERAL BUNDLE BRANCH BLOCK IN RELATION TO COMPLETE HEART BLOCK. Prog Cardiovasc Dis. 1964 Mar;6:409–444. doi: 10.1016/s0033-0620(64)80001-3. [DOI] [PubMed] [Google Scholar]
  4. Lasser R. P., Haft J. I., Friedberg C. K. Relationship of right bundle-branch block and marked left axis deviation (with left parietal or peri-infarction block) to complete heart block and syncope. Circulation. 1968 Mar;37(3):429–437. doi: 10.1161/01.cir.37.3.429. [DOI] [PubMed] [Google Scholar]
  5. Pistolese M., Richichi G., Catalano V. Importanza del blocco di branca destra codeviazione assiale sinistra (BBD con DAS) nella genesi del blocco atrio-ventricolare completo. Minerva Cardioangiol. 1969 Jul;17(7):468–475. [PubMed] [Google Scholar]
  6. Rosenbaum M. B., Elizari M. V., Lazzari J. O., Nau G. J., Levi R. J., Halpern M. S. Intraventricular trifascicular blocks. The syndrome of right bundle branch block with intermittent left anterior and posterior hemiblock. Am Heart J. 1969 Sep;78(3):306–317. doi: 10.1016/0002-8703(69)90038-6. [DOI] [PubMed] [Google Scholar]
  7. Scherlag B. J., Lau S. H., Helfant R. H., Berkowitz W. D., Stein E., Damato A. N. Catheter technique for recording His bundle activity in man. Circulation. 1969 Jan;39(1):13–18. doi: 10.1161/01.cir.39.1.13. [DOI] [PubMed] [Google Scholar]
  8. Watt T. B., Jr, Freud G. E., Durrer D., Pruitt R. D. Left anterior arborization block combined with right bundle branch block in canine and primate hearts. An electrocardiographic study. Circ Res. 1968 Jan;22(1):57–63. doi: 10.1161/01.res.22.1.57. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES