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Bifascicular and Trifascicular Blocks

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Book cover Intraventricular Conduction Disturbances

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 12))

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Abstract

The term bifascicular block refers to a combination of right bundle branch block (RBBB) with either anterior fascicular block (AFB) or posterior fascicular block (PFB).

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References

  1. Narula OS, Samet P: Right bundle branch block with normal, left or right axis deviation: analysis by His bundle recordings. Am J Med 51: 432, 1971

    Article  PubMed  CAS  Google Scholar 

  2. Kulbertus HE: Reevaluation of the prognosis of patients with LAD-RBBB. Am Heart J 92: 665, 1976

    Article  PubMed  CAS  Google Scholar 

  3. Medrano GA, Breves CP, De Micheli A, Sodi-Pallares D: El bloqueo simultaneo de la subdivision anterior y posterior de la rama izquierda del haz de His (bloqueo bi-fascicular) y su asociacion con bloqueo de la rama derecha (bloqueo trifascicular). Estudio electrocardiografico experimental y clinico. Arch Inst Cardiol Mex 40: 752, 1970

    PubMed  CAS  Google Scholar 

  4. Medrano GA, De Micheli A: El electrocardiograma y el vectorcardiograma en los bloqueos mono-y polifasciculares. Arch Inst Cardiol Mex 44: 421, 1974

    PubMed  CAS  Google Scholar 

  5. Medrano GA, De Micheli A, Brenes PC, Sodi-Ballares D: Experimental bases for diagnosis of left bifascicular and trifascicular block. G Ital Cardiol 5: 8, 1975

    PubMed  CAS  Google Scholar 

  6. Watt TB: Features of fascicular block imposed upon existing right bundle branch block in the dog and baboon. Am J Cardiol 39: 1000, 1977

    Article  PubMed  CAS  Google Scholar 

  7. Windham CRS, Meeran MK, Smith T, Engelman RM, Levitsky S, Rosen KM: Epicardial activation in human left anterior fascicular block. Am J Cardiol 44: 638, 1979

    Article  Google Scholar 

  8. Wyndham CRC, Smith T, Meeran MK, Mammana R, Levitsky S, Rosen KM: Epicardial activation in patients with left bundle branch block. Circulation 61: 696, 1980

    PubMed  CAS  Google Scholar 

  9. Rosenbaum MB, Elizari MV, Lazzari JO: The hemiblocks. Oldsmar: Tampa Tracing 1970

    Google Scholar 

  10. Grant RI’: Spatial vector electrocardiography. A method for calculating the spatial electrical vectors of the heart from conventional leads. Circulation 2: 676, 1950

    Google Scholar 

  11. Richman JL, Wolff L: Left bundle branch block masquerading as right bundle branch block. Am Heart J 47: 383, 1954

    Article  PubMed  CAS  Google Scholar 

  12. Unger PN, Lesser ME, Kugel VH, Lev M: The concept of masquerading bundle branch block. An electrocardiographic-pathologic correlation. Circulation 17: 397, 1958

    PubMed  CAS  Google Scholar 

  13. Rosenbaum MB, Yesuron J, Lazzari JO, Elizari MV: Left anterior hemiblock obscuring the diagnosis of right bundle branch block. Circulation 48: 298, 1973

    PubMed  CAS  Google Scholar 

  14. Palmieri M, Ruggeri Ci. Zappala’ A, Nava A: Studio dell’emiblocco posteriore sinistro associato a blocco della branca destra. Contributo clinico, elettro e vettocardiografico. G Ital Cardiol 4: 463, 1974

    PubMed  CAS  Google Scholar 

  15. Alboni P, Fantini F, Nava A, Masoni A: Criteri elettrocardiografici attuali per la diagnosi dei blocchi fascicolari. G Ital Cardiol 6: 118, 1976

    PubMed  CAS  Google Scholar 

  16. Alboni P: Revisione del concetto di emiblocco. Atti IX Congresso Nazionale ANMCO. Rome: Pozzi, 1978, p 205

    Google Scholar 

  17. Bloch Thomsen PE, Steendorff B, Gotzsche H: Intraventricular trifascicular block verified by His bundle electrocardiography. Am Heart J 92: 497, 1976

    Article  Google Scholar 

  18. Sugiura M, Hiradka K, Ohkawa S: A histological study on the conduction system in 16 cases of right bundle branch block associated with right axis deviation. Jap Heart J 15: 113, 1974

    Article  PubMed  CAS  Google Scholar 

  19. Andrade ZA, Andrade SG, Oliveira GBI, Alonso DL: Histopathology of the conducting tissue of the heart in Chagas’ myocarditis. Am Heart J 95: 316, 1978

    Article  PubMed  CAS  Google Scholar 

  20. Rossi L: Histopathology of cardiac arrhythmias, 2nd edn Milan: Casa Editrice Ambrosiana, 1978

    Google Scholar 

  21. Blondeau M, Lenegre J: Blocs atypiques de la branche droite. Paris: Masson & Cie, 1970

    Google Scholar 

  22. Fernandez F, Gay J, Lenegre J: Bloc de la branche bilatéral; étude des aspects électrocardiographiques et des corrélations anatomo-électriques dans 100 cas avec des lésions histologiques majeures des deux branches du faisceau de His. II. Etude des corrélations anatomo-cliniques. Arch Mal Coeur 67: 655, 1974

    PubMed  CAS  Google Scholar 

  23. Bharati S, Lev M: Histological and electrophysiological correlations in atrioventricular block and bundle branch block. In: Cardiac arrhythmias. Electrophysiology, diagnosis and management, Narula OS. Baltimore: Williams & Wilkins, 1979, p 164

    Google Scholar 

  24. Rotman M, Triebwasser JH: A clinical and follow-up study of right and left bundle branch block. Circulation 51: 477, 1975

    PubMed  CAS  Google Scholar 

  25. Siegman-Igra Y, Yahini JH, Goldbourt U, Neufeld HN: Intraventricular conduction disturbances: a review of prevalence, etiology and progression for ten years within a stable population of Israeli adult males. Am Heart J 96: 669, 1978

    Article  PubMed  CAS  Google Scholar 

  26. Lasser RP, Haft JI, Friedberg CK: Relationship of right bundle branch block and marked left axis deviation (with left parietal or peri-infarctional block) to complete heart block and syncope. Circulation 37: 429, 1968

    PubMed  CAS  Google Scholar 

  27. Watt TB Jr, Pruitt RD: Character, cause and consequence of combined left axis deviation and right bundle branch block in human electrocardiogram. Am Heart J 77: 460, 1969

    Article  PubMed  Google Scholar 

  28. Dhingra RC, Wyndham C, Bauernfeind R, Denes P, Wu D, Swiryn S, Rosen KM: Significance of chronic bifascicular block without apparent organic heart disease. Circulation 60: 33, 1979

    PubMed  CAS  Google Scholar 

  29. Scanlon P, Pryor R, Blount G: Right bundle-branch block associated with left superior or inferior intraventricular block. Clinical setting, prognosis and relation to complete heart block. Circulation 42: 1123, 1970

    PubMed  CAS  Google Scholar 

  30. De Pasquale NP, Bruno MS: Natural history of combined right bundle branch block and left anterior hemiblock (bilateral bundle branch block). Am J Med 54: 297, 1973

    Article  Google Scholar 

  31. Narula OS, Gann D, Samet P: Prognostic value of HV interval. In: His bundle electrocardiography and clinical electrophysiology. Nacula OS. Philadelphia: FA Davis, 1975, p 437

    Google Scholar 

  32. Varriale P, Kennedy RJ: Right bundle branch block and lef posterior fascicular block. Vectorcardiographic and clinical features. Am J Cardiol 29: 459, 1972

    Article  PubMed  CAS  Google Scholar 

  33. Dhingra RC, Denes P, Wu D, Chuquimia R, Amat-y-Leon F, Wyndham C, Rosen KM: Chronic right bundle branch block and left posterior hemiblock. Clinical, electrophysiologic and prognostic observations. Am J Cardiol 36: 867, 1975

    Article  PubMed  CAS  Google Scholar 

  34. Meilhac B, Noblet-Meilhac D, Le Pailleur CL: Bloc trifasciculaire chez le sujet jeune avec atteinte infraclinique de la contractilité myocardique. Arch Mal Coeur 72: 793, 1979

    PubMed  CAS  Google Scholar 

  35. Narula OS: Intraventricular conduction defects: current concepts and clinical significance In: Cardiac arrhytmias. Electrophysiology, diagnosis and management, Narula OS. Baltimore: Williams & Wilkins, 1979, p 114

    Google Scholar 

  36. Berkowitz WD, Lau SH, Patton RD, Rosen KM, Damato AN: The use of His bundle recordings in the analysis of unilateral and bilateral bundle branch block. Am Heart J 81: 340, 1971

    Article  PubMed  CAS  Google Scholar 

  37. Haft JI, Weinstock M. De-Quia PK, Gupta F, Fano A: Assessment of atrioventricular conduction in left and right bundle branch block using His bundle electrocardiogram and atrial pacing. Am J Cardiol 27: 424, 1971

    Google Scholar 

  38. Denes P, Dhindra RC, WU D, Chuquimia R, Amat-y-Leon F, Wyndham C, Rosen KM: HV interval in patients with bifascicular block (right bundle branch block and left anterior hemiblock). Clinical, electrocardiographic and electrophysiologic correlations. Am J Cardiol 35: 23, 1975

    Article  PubMed  CAS  Google Scholar 

  39. Puech P, Grolleau R, Guimond C: Incidence of different types of AV block and their localization by His bundle recordings. In: The conduction system of the heart. Structure, function and clinical implications, Wellens HSJ, Lie KI, Janse MS. Leiden: Stenfert Kroese, 1976, p 467

    Google Scholar 

  40. Levites R, Haft JI Significance of first degree heart block in bifascicular block. Am J Cardiol 34: 259, 1974

    Article  PubMed  CAS  Google Scholar 

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© 1981 Martinus Nijhoff Publishers, The Hague

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Alboni, P. (1981). Bifascicular and Trifascicular Blocks. In: Intraventricular Conduction Disturbances. Developments in Cardiovascular Medicine, vol 12. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8287-1_5

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  • DOI: https://doi.org/10.1007/978-94-009-8287-1_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-8289-5

  • Online ISBN: 978-94-009-8287-1

  • eBook Packages: Springer Book Archive

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