Review Article

The Primary Alteration of Ventricular Myocardium Conduction: The Significant Determinant of Left Bundle Branch Block Pattern

Figure 1

Results of the computer simulation: Typical LBBB patterns observed after slowing the conduction velocity in left ventricular myocardium without blocking the onset of left ventricular activation, i.e. without simulating the block in the left bundle branch. 12-lead ECG (a), vectorcardiogram (b), (H) horizontal plane, LS: left sagittal plane, (F) frontal plane. Adapted from: Bacharova L, Szathmary V, Mateasik A. Electrocardiographic patterns of left bundle-branch block caused by intraventricular conduction impairment in working myocardium: a model study. J Electrocardiol. 2011; 44 : 768–78. With permission.
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