2019Annals of Noninvasive ElectrocardiologyOpen access

Re‐evaluating the electro‐vectorcardiographic criteria for left bundle branch block

Andrés Ricardo Pérez‐Riera, Raimundo Barbosa‐Barros, Rodrigo Daminello Raimundo, Luíz Carlos de Abreu, Marcos Célio de Almeida, Jani Rankinen, Fabio Baeub Soler, Kjell Nikus

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Abstract

The criteria for left bundle branch block have gained growing interest in the last few years. In this overview, we discuss diagnostic and prognostic aspects of different criteria. It was already shown that stricter criteria, including longer QRS duration and slurring/notching of the QRS, better identify responders to cardiac resynchronization therapy. We also include aspects of ST/T concordance and discordance and vectorcardiography, which could further improve in the fine-tuning of the left bundle branch criteria.

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What this paper is about

The criteria for left bundle branch block have gained growing interest in the last few years. In this overview, we discuss diagnostic and prognostic aspects of different criteria. It was already shown that stricter criteria, including longer QRS duration and slurring/notching of the QRS, better identify responders to cardiac resynchronization therapy. We also include aspects of ST/T concordance and discordance and vectorcardiography, which could further improve in the fine-tuning of the left bundle branch criteria.

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Available abstract

The criteria for left bundle branch block have gained growing interest in the last few years. In this overview, we discuss diagnostic and prognostic aspects of different criteria. It was already shown that stricter criteria, including longer QRS duration and slurring/notching of the QRS, better identify responders to cardiac resynchronization therapy. We also include aspects of ST/T concordance and discordance and vectorcardiography, which could further improve in the fine-tuning of the left bundle branch criteria.

Key concepts: Medicine, Vectorcardiography, Left bundle branch block, Internal medicine, Notching, Cardiology, QRS complex, Concordance

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