BACKGROUND The diagnosis of left ventricular hypertrophy (LVH) in the presence of the left bundle branch block (LBBB) is difficult. In our study we compared commonly used ECG criteria with left ventricular mass index (LVMI) calculated during cardiac magnetic resonance imaging (CMRI) to verify their clinical value or the need to recalibrate. METHODS CMRI and ECG data of 36 patients were includ...

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...

Lyme disease may present with a variety of cardiac manifestations ranging from first degree to third degree heart block. Cardiac involvement with Lyme disease may be asymptomatic, or symptomatic. Atrioventrical conduction abnormalities are the most common manifestation of Lyme carditis. Less common, are alternating right bundle branch block (RBBB) and left bundle branch block (LBBB). We present...

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...

Abstract Funding Acknowledgements Type of funding sources: None. Introduction Autocapture algorithms allow remote monitoring patients, reducing the need for face-to-face hospital consultations and increasing patient safety. These are widely validated in patients with conventional pacing not recommended His bundle pacing, but there is no information on its behaviour left branch (LBBP). Purpose T...

His (H), right bundle branch (RB), and left bundle branch (LB) potentials were recorded by electrode catheters passed into the left and right ventricles in seven patients without conduction defects. In another three patients, H and LB were recorded. Initial ventricular activation was considered to coincide with the onset of the QRS (Q). The following intervals were measured in milliseconds: H-Q...

(ILBBB) has received scant attention in the literature as an elec-trocardiographic entity, seemingly due to its multiple etiologies and its superficial resemblance to left ventricular preponderance (LVP) ,** and left ventricular is-chemia. In a review of current texts, Fried-berg,1 Lipman and Massie,2 Wolff3 and Levine4 stress the difficulty in electrocardio-graphically differentiating the ILBB...

Biventricular pacing has been used to treat patients with symptomatic heart failure, systolic left ventricular dysfunction and intraventricular conduction delays. This modality is usually reserved for the treatment of patients with a left bundle branch block pattern on electrocardiogram. We report the successful use of biventricular pacing in a patient with heart failure and a right bundle bran...