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Understanding the Electrocardiogram

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  2. Understanding the Electrocardiogram In Health & Disease
  3. 3.0.0 Inter and intra-ventricular Conduction Disturbances
  4. 3.1.0 Right Bundle Branch Block (RBBB)

3.1.5


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The QRS complex shown on the page 3.1.3 and repeated here can be displayed as a series of spatial vectors in the frontal plane just as was done for the normal QRS complex.

The initial portion of the QRS complex, representing septal depolarization, i.e. the small Q in leads I,II and aVF, and the small R in aVR is directed to the right and slightly superiorly. Its vector has an axis of approximately +210 degrees.

The main portion of the QRS complex is equally positive in leads I and II and negative in aVR. Its vector has an axis of approximately +30 degrees.

The terminal part of the QRS complex, i.e. the S waves in leads I, II and aVL and the R’ in aVR has a spatial vecto with an axis of approximately +180 degrees. These individual vectors can be enclosed in a vector loop.

Book traversal links for 3.1.5

  • 3.1.4
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  • 3.1.6

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Book navigation

  • Introduction to First Edition
  • 1.0.0 Generation of the ECG
  • 2.0.0 The Normal Electrocardiogram
  • 3.0.0 Inter and intra-ventricular Conduction Disturbances
    • 3.0.1 Introduction Continued
    • 3.1.0 Right Bundle Branch Block (RBBB)
      • 3.1.1
      • 3.1.2
      • 3.1.3
      • 3.1.4
      • 3.1.5
      • 3.1.6
      • 3.1.7
      • 3.1.8
      • 3.1.9
      • 3.1.10
      • 3.1.12. (14)
      • 3.1.13
      • 3.1.14
      • 3.1.15
      • 3.1.16
    • 3.2.0 Left Bundle Branch Block (LBBB)
    • 3.3.0 Fascicular blocks (frame 29)
    • 3.4.0 Aberrant Ventricular Conduction (52)
    • 3.5.0 Ventricular Pre-excitation (77)
  • 4.0.0 Ventricular Hypertrophy
  • 5.0.0 ELECTROLYTE ABNORMALITIES, DRUG EFFECTS AND THE LONG QT SYNDROMES
  • 6.0.0 Ischemia and Infarction - Introduction (frame i and ii)
  • 7.0.0 Tachycardias- Introduction
  • 8.0.0 The Bradycardias frame i-introduction
  • 9.0.0 The ECG of Heart Murmurs-introduction
  • 10.0.0 The Electrocardiogram in the Emergency Department-Introduction
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