Bilateral Bundle Branch Block (BBBB)
Report:
Sinus rhythm 94/min
Advanced (4:1) AV block
Left bundle branch block
Comment:
While it is possible that there exist independent AV nodal block and isolated LBB disease, the block as recorded is more likely an expression of BBBB, viz. permanent LBBB + 4:1 RBBB!
The block resolved spontaneously after admission (below, Fig 140a). The patient received a permanent pacemaker.
Fig 140a. Spontaneous reversion to 1:1 conduction. The primary T wave changes (i.e., not secondary to LBBB) are have resolved beyond recognition .
Fig 141. 26 year old man with epilepsy, on, inter alia, 1g carbamazepine daily.
Collections
Tags
If you have any suggestions for or feedback on this report, please let us know.
Hi, can we chat about some terms and conditions?
The library and its records are licensed under the Creative Commons Attribution 4.0 International license.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
By clicking agree below, you are agreeing to adhere to CC BY 4.0.