The mechanism of origin of ventricular premature depolarizations (VPDs) is explained by automaticity or reentry. We studied three patients with intermittent left bundle branch block (LBBB) and unifocal VPDs of right bundle branch block (RBBB) morphology (assumed left ventricular origin). We examined the effect of different types of intraventricular conduction on the coupling intervals of the VP...

Premature ventricular contraction (PVC) is one of the most serious arrhythmias. Without early diagnosis and proper treatment, PVC can result in significant complications. In this paper, a novel feature extraction method based on a sparse auto-encoder (SAE) and softmax regression (SR) classifier was used to differentiate PVCs from other common Non-PVC rhythms, including normal sinus (N), left bu...

Of 114 patients with acute myocardial infarction admitted consecutively to a coronary care unit, 10 had recent antero-septal myocardial infarction associated with right bundle-branch block and obvious left axis deviation, and I had recent antero-septal myocardial infarction with right bundle-branch block and right axis deviation. Attention is drawn to the high mortality (7 out of 11 patients), ...

OBJECTIVES We sought to assess whether structural heart disease underlies the syndrome of right bundle branch block, persistent ST segment elevation and sudden death. BACKGROUND Ventricular fibrillation and sudden death may occur in patients with a distinctive electrocardiographic (ECG) pattern of right bundle branch block and persistent ST segment elevation in the right precordial leads. M...

In 8 cases of left anterior hemiblock, combined with right bundle-branch block in 7, serial sections of the conducting system of the heart were examined histologically. In all cases there were pathological changes in the left bundle-branch but the anterior part of it was predominantly affected in only 2 cases. Acute changes were found in 6 cases of early myocardial infarction, and fibrosis in 2...

The present study describes the clinical and electrophysiological characteristics of sustained bundle branch reentrant ventricular tachycardia treated with electrical ablation of the right bundle branch. Seven patients presented with syncopal episodes, and six of the seven had documented episodes of ventricular tachycardia. All patients had depressed left ventricular ejection fraction with card...

Wit/i the collaboration of Charles A. Bertrand, M.D., and Frederick R. Mugler, M.D. Electrocardiographic and vectorcardiographic studies on normal subjects and patients with heart disease suggest that criteria for the diagnosis of right ventricular hypertrophy can be improved and simplified. This report proposes new criteria for the electrocardiographic diagnosis of right ventricular hypertroph...

Fig. 3.?Electrocardiogram, showing apparent bundle branch block (right-sided) and ventricular extra-systoles. The short duration' of P-R and the widening of the QRS complexes are characteristic. (Date of tracing : 22-4-40.) Fig. 3.?Electrocardiogram, showing apparent bundle branch block (right-sided) and ventricular extra-systoles. The short du of P-R and the widening of the QRS complexes are c...