left bundle branch block

Cardiology A condition in which ventricular contraction is not completely synchronized due to a block in conduction of an electrical impulse to the ventricles; in LBBB, right ventricular endocardial activation begins before, and is often completed before, initiation of left ventricular endocardial activation; benign LBBB is rare; preexisting LBBB in absence of clinical evidence of heart disease is rare; newly acquired LBBB has a 10-fold ↑ in mortality Clinical Generally asymptomatic, or absent or diminished 1^st heart sound–HS and reversed splitting of 2^nd HS EKG Lead V₁–QS or rS; lead V₆–late intrinsicoid deflection, monophasic R; lead I–monophasic R Management Pacemaker, if syncope or significant arrhythmias Followup Telemetry PRN. See Bundle branch block. Cf Right bundle branch block.

left bundle branch block

Abbreviation: LBBB
A defect in the conduction system of the heart in which electrical conduction down the left bundle branch is delayed. On the 12-lead EKG, it gives the QRS complex a widened QS complex in lead V₁ (0.12 sec.). See also: bundle branch block

单词	left bundle branch block
释义	left bundle branch block Translations left bundle branch block left bundle branch block Cardiology A condition in which ventricular contraction is not completely synchronized due to a block in conduction of an electrical impulse to the ventricles; in LBBB, right ventricular endocardial activation begins before, and is often completed before, initiation of left ventricular endocardial activation; benign LBBB is rare; preexisting LBBB in absence of clinical evidence of heart disease is rare; newly acquired LBBB has a 10-fold ↑ in mortality Clinical Generally asymptomatic, or absent or diminished 1^st heart sound–HS and reversed splitting of 2^nd HS EKG Lead V₁–QS or rS; lead V₆–late intrinsicoid deflection, monophasic R; lead I–monophasic R Management Pacemaker, if syncope or significant arrhythmias Followup Telemetry PRN. See Bundle branch block. Cf Right bundle branch block. left bundle branch block Abbreviation: LBBB A defect in the conduction system of the heart in which electrical conduction down the left bundle branch is delayed. On the 12-lead EKG, it gives the QRS complex a widened QS complex in lead V₁ (0.12 sec.). See also: bundle branch block AcronymsSeelet bygones be bygones
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