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Hidden message of ECG: How to quickly identify different types of bundle branch blocks?
In the cardiac, the slang branch blocks a kind of situation due to partial or complete interruption of the current signal.This condition may lead to abnormalities in the holistic cardiac function between the current right-pack or left bundle branch.With the progression of heart lesions, beams can become more prevalent, while early identifying their types are the key to improving the prognosis of the patient.
Anatomy and physiology
Heart Electrical Activities originate from the tie-knot located above the right atrium, and a natural heart build point will emit an electrical pulse, and then through the left and right atrial transmission, bringing together in the room knot.Electric pulses were knotted from the room to the Heath, which was subsequently divided into the right bundle and the left bundle.The right bundle contains a bundle, and the left bundle is subdivided into two: anterior bundles and rear beams.
pathogenesis
When the beam or bundle causes harm (e.g., heart disease, myocardial infarction, or cardiac surgery), the electrical pulses can occur.If the electrical pulse cannot be performed at the cardiac muscle fibers at a slower rate through the original path of conduction, the cardiac muscle fibers can lead to different steps in cardiac contraction, thereby triggering a decrease in the amount of heart output.
Diagnosis method
Bull Branch Blocking Diagnosis Usually Of the ECGs based on ECG.In the ECG, it is possible that the QRS wave duration exceeds 120ms, it is possible to be blocked.The right socket block usually extends the final part of the QRS wave and may slightly turn the cardiac axle to the right.The left bundle of branches will expand the entire QRS wave and make most of its electric shaft towards the left.
Right-Back Branch Blocks ECG will show the final ending in the V1 Guide, while the left beam may show QS or rS compound waves in the V1 Guide.
Bull Branch Blocking Type
Bull Branch Blocking can be further subdivided according to the position of the defect, as follows:
- Right slack branches are blocked, divided into incomplete (IRBB) and complete (CRBBB)
- Left bundle blocks, divided into incomplete (iLBB) and complete (cLBBB)
- Former Bundle Blocking
- Back Block Blocking
To examine the directions of QRS waves in the V1 Guide, two types can be quickly distinguished: the lower recess indicates the left bundle branch is blocked, while the upper convexity indicates the right slack.
Treatment
Many possession of a bundle of laxity may be born with this condition, and another one may have this disease due to heart disease.Usually, patients in EKG will show abnormal waveforms in EKG, but can still live active life.Yet, in the bound system, if there is a more complex blocking situation and sweeping the heart disgustingly there is other severe lesions, which may be potentially cardiac sickness.In more severe cases, a striator may be required to restore the best electrical activation of the heart muscles.
Has the health care providers can accurately identify different types of bundle blocks within the shortest time and find the best treatment regimen for patients?
