LBBB and IVCD: Definitions in the Era of Physiologic Pacing. How to Assess the Presence of Conduction Block Based on an ECG?
LBBB and IVCD: Definitions in the Era of Physiologic Pacing. How to …
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Intraventricular conduction delay (IVCD) is a critical ECG finding, marked by a widened QRS complex (≥120 ms), reflecting delayed electrical conduction within the ventricles. Left bundle branch block (LBBB) is characterized by a deep S wave in lead V1, broad, single-peaked R waves in lateral leads (I, aVL, V5-V6), and a delayed R wave peak time (>60 ms in V5-V6), indicating left ventricular conduction impairment. Conversely, right bundle branch block (RBBB) presents with a QRS duration exceeding
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