The electrocardiographic pattern of right bundlebranch block in the precordial leads associated with left axis deviation in the limb leads has been noted by others. Wilson, Johnston, and Barker (1934) were the first to describe a small wide R and S wave in lead I, with a wide and deep S wave in leads II and III, and a typical RBBB pattern in the praecordial leads. Recently, Lepeschkin (1964) re...

BACKGROUND Cardiac resynchronization therapy (CRT) is a medical device to help cardiac synchronized contractility by electrical impulses. Improvement of symptoms and left ventricular systolic function, reducing hospital admissions and mortality in patients with moderate to severe heart failure are the main benefits of administration of cardiac resynchronization therapy. CASE REPORT In this ar...

The TAGE predictor [12] is considered as one of the most storage effective global branch/path history predictors. It has been shown that associated with small adjunct predictors like a statistical corrector (SC for short) and/or a loop predictor (L for short) [11, 10], TAGE can even be more effective. In this study, we explore the performance limits of these TAGE-SC-L predictors for respectivel...

BACKGROUND Prolonged QRS duration is associated with increased mortality among heart failure patients, but race or sex differences in QRS duration and associated effect on outcomes are unknown. METHODS AND RESULTS We investigated QRS duration and morphology among 2463 black and white patients with heart failure and left ventricular ejection fraction ≤35% who underwent coronary angiography and...

A characteristic abnormality of motion of the interventricular septum was recorded by echocardiography in 17 of 18 patients with left bundle branch block. Early and abrupt contraction of the septum occurs during the pre-ejection period before the delayed commencement of contraction of the posterior wall of the left ventricle. This abnormality can be explained by asynchronous contraction of the ...

A characteristic abnormality of motion of the interventricular septum was recorded by echocardiography in 17 of 18 patients with left bundle branch block. Early and abrupt contraction of the septum occurs during the pre-ejection period before the delayed commencement of contraction of the posterior wall of the left ventricle. This abnormality can be explained by asynchronous contraction of the ...

The quantification of mechanical interventricular asynchrony (IVA) was investigated. In 12 dogs left bundle branch block (LBBB) was induced by radio frequency ablation. Left ventricular (LV) and right ventricular (RV) pressures were recorded before and after induction of LBBB and during LBBB + LV apex pacing at different atrioventricular (AV) delays. Four IVA measures were validated using compu...

Interruption of anterior fibers of the left bundle branch system together with right bundle branch block was accomplished experimentally in canine and primate hearts. In both species the electrocardiographic effects included a major alteration of the mean electrical axis to a superior and anterior direction. Epicardial excitation was markedly delayed anteriorly, causing widening of the QRS comp...

Isolated left ventricular noncompaction is a hereditary cardiomyopathy in which a variety of supraventricular and ventricular arrhythmias could be observed. We report a patient with exercise-induced ventricular tachycardia with left bundle branch block morphology that had characteristics of an idiopathic ventricular tachycardia who was subsequently diagnosed as left ventricular noncompaction. S...

A 33-year-old female was referred for an electrophysiologic study because of recurrent episodes of palpitations. Catheters were placed in the high right atrium (HRA), the His bundle (HIS), and the right ventricular apex (RVA). Baseline cycle length in sinus rhythm and atrial-His (AH) and His-ventricular (HV) intervals were 790, 90, and 45 ms, respectively. Spontaneous onset of a wide complex ta...