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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. 3.2.0 Left Bundle Branch Block (LBBB)

3.2.7 (26)

In incomplete left bundle branch block, the QRS complex duration is between 0.10 and 0.12 seconds (100 and 120ms) and the small initial q waves in leads I, V5, and V6 is usually absent. These ECGs are from a 66 year old woman and demonstrate a normal QRS complex and complexes with both incomplete and complete left bundle branch block. Complex #1 demonstrates complete left bundle branch block with a QRS duration of approximately 130ms, absent Q waves in I, V5 and V6, the characteristic prominent notching of the QRS complex and secondary T wave changes. Complexes #2 and 3 show incomplete left bundle branch block in with a QRS duration of approximately 110ms, without Q waves in 1, V5 and V6, without obvious notching of the QRS complex and with only minor T wave changes. Complex # 4 is a ventricular premature beat and complex #5 is normal. Its QRS duration is 80ms, a small initial Q wave is present in leads 1, and 2 and the T waves are nearly normal.

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  • 3.2.6 (25)
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  • 3.2.8 (28-frame 27 is omitted)

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  • 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)
    • 3.2.0 Left Bundle Branch Block (LBBB)
      • 3.2.1 (20)
      • 3.2.2 (21)
      • 3.2.3 (22)
      • 3.2.4 (23)
      • 3.2.5 (24)
      • 3.2.6 (25)
      • 3.2.7 (26)
      • 3.2.8 (28-frame 27 is omitted)
    • 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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