Eppinger and Rothberger
1
introduced the concept of bundle branch block (BBB) 60 years ago in Vienna. The causes
of left BBB are varied. Clinical
2
and pathologic
3
studies suggest systemic hypertension and coronary artery disease (CAD) as the most
common causes.
2
,
3
,
4
,
5
,
6
,
7
Cardiomyopathy, valvular heart disease, and several other less common causes have
been described.
7
It has also been known that some patients with left BBB have apparently normal hearts
except for conduction system abnormalities.
4
However, the true incidence of various etiologic groups needs further corroboration
by a larger study.
7
Therefore, this communication provides additional data in a large number of patients
regarding the various etiologies of left BBB and correlates electrocardiographic and
clinical observations with left ventricular (LV) functions and coronary angiocardiographic
data.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of CardiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Zur Analyse Des Elektrokardiogramms.Wien Klin Wchnschr. 1909; 22: 1091-1098
- The prognosis of complete left bundle branch block.Am Heart J. 1965; 70: 157-164
- Pathologic correlates of the electrocardiogram.Am Heart J. 1982; 65: 445-451
- Benign left bundle branch block.Ann Intern Med. 1969; 70: 269-276
- Left bundle branch block—etiologic, hemodynamic and ventriculograpbic considerations.Circulation. 1971; 43: 279-287
- Usefulness of left atrial abnormality for predicting left ventricular hypertrophy in the presence of left bundle branch block.Am J Cardiol. 2000; 85: 354-359
- Coronary angiographic appearances in patients with left bundle branch block.Circulation. 1970; 41: 299-306
- Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. 9th ed. Little, Brown, Boston1994: 210-219
- Cine coronary arteriography.Mod Conc Cardiovasc Dis. 1962; 31: 735-740
- Selective coronary arteriography. A percutaneous transfemoral technique.Radiology. 1967; 89: 815-822
- Localized disorders in myocardial contraction.N Engl J Med. 1967; 277: 222-230
- Angina pectoris.in: Rios J.C. Cardiovascular Clinics. FA Davis, Philadelphia, PA1977: 79-109
- Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle branch block.N Engl J Med. 1996; 334: 481-487
- Electrocardiographic diagnosis of myocardial infarction in the presence of complete left bundle branch block.Am Heart J. 1988; 116: 23-31
- Left atrial abnormality in acute myocardial infarction.Am J Cardiol. 1997; 79: 807-811
- The anatomy and pathology of the conduction system in the human heart.Hebrew Med J. 1962; 1: 262-269
- Clinical recognition and treatment of acute potassium intoxication.Ann Intern Med. 1950; 33: 797-830
- Etiology and pathology of bilateral bundle branch block in relation to heart block.Prog Cardiovasc Dis. 1964; 6: 409-444
- Electrocardiographic-pathologic correlation study of left ventricular hypertrophy in the presence of left bundle branch block.Circulation. 1959; 20: 766-772
- Complete heart block complicating cardiac catheterization.Chest. 1972; 61: 185-192
Article info
Publication history
Accepted:
February 24,
2003
Received in revised form:
February 24,
2003
Received:
December 27,
2002
Identification
Copyright
© 2003 Excerpta Medica Inc. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Questionable origins of left bundle branch blockAmerican Journal of CardiologyVol. 93Issue 6
