Bundle Branch Block Quiz Part 5

Identify the following bundle branch blocks
1.
2.
3.




4.
5.
6.






7.


Answers
1.
Left bundle branch block






In the left leads I, V5, and V6 there are wide monophasic R waves.
2.
Right bundle branch block








In the right lead, V1, there is a wide, notched, QRS complex.

3.
Left bundle branch block






In lead I and V6 there are wide QRS complexes.   The complex in V6 has a RSR pattern.

4.
Left bundle branch block







In lead I and V6 there are wide QRS complexes.   In lead V6 the terminal down stroke of the QRS complex is slurred.

5.
Right bundle branch block







The right, V1, lead shows a RSR pattern typical of a right bundle branch block
6.
Right bundle branch block





In V1 there is a RSR pattern

7.
Non-specific intraventricular conduction delay







The QRS complex is greater that 0.12 sec.  There are no specific characteristics that would identify this as either a right or left bundle branch block. 

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