Masquerading Bundle Branch Block: A Poor Prognostic Sign Revisited
Masquerading bundle branch block is a rare but important finding on the Electrocardiogram (ECG). It is an indication of severe and diffuse conduction system disease and usually indicates poor prognosis. The precordial leads show a Right Bundle Branch Block (RBBB) pattern while the limb leads resem...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2016-09-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/8472/20572_CE[Ra1]_F(P)_PF1(ASAK)_PFA(AK)_PF2(PEK).pdf |
| _version_ | 1828236317312417792 |
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| author | Suheil Dhanse Hashir Kareem Tom Devasia Mugula Sudhakar Rao |
| author_facet | Suheil Dhanse Hashir Kareem Tom Devasia Mugula Sudhakar Rao |
| author_sort | Suheil Dhanse |
| collection | DOAJ |
| description | Masquerading bundle branch block is a rare but important finding on the Electrocardiogram (ECG). It is an indication of severe and
diffuse conduction system disease and usually indicates poor prognosis. The precordial leads show a Right Bundle Branch Block
(RBBB) pattern while the limb leads resemble a Left Bundle Branch Block (LBBB). This finding on an ECG is almost invariably associated
with severe underlying heart disease. It is extremely important to be aware of this finding as it is a marker of poor cardiac outcomes. We
report the case of a 68-year-old gentleman, who presented with progressive dyspnoea on exertion over three months. ECG showed a
broad QRS complex with a RBBB pattern on the precordial leads and a LBBB pattern on the limb leads (suggestive of masquerading
bundle branch block). A coronary angiogram revealed severe Triple Vessel Disease (TVD). The patient was scheduled for an early
Coronary Artery By-Pass Grafting Surgery. However, his clinical condition deteriorated and he died while awaiting the surgery. |
| first_indexed | 2024-04-12T20:29:49Z |
| format | Article |
| id | doaj.art-e42425f2f3cc4c07870b6ea294c31ef1 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-12T20:29:49Z |
| publishDate | 2016-09-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-e42425f2f3cc4c07870b6ea294c31ef12022-12-22T03:17:46ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-09-01109OD01OD0210.7860/JCDR/2016/20572.8472Masquerading Bundle Branch Block: A Poor Prognostic Sign RevisitedSuheil Dhanse0Hashir Kareem1Tom Devasia2Mugula Sudhakar Rao3Registrar, Department of Cardiology, KMC Manipal, Manipal University, Manipal, Karnataka, India.Associate Professor, Department of Cardiology, KMC Manipal, Manipal University, Manipal, Karnataka, India.Professor, Department of Medicine, KMC Manipal, Manipal University, Manipal, Karnataka, India.Registrar, Department of Cardiology, KMC Manipal, Manipal University, Manipal, Karnataka, India.Masquerading bundle branch block is a rare but important finding on the Electrocardiogram (ECG). It is an indication of severe and diffuse conduction system disease and usually indicates poor prognosis. The precordial leads show a Right Bundle Branch Block (RBBB) pattern while the limb leads resemble a Left Bundle Branch Block (LBBB). This finding on an ECG is almost invariably associated with severe underlying heart disease. It is extremely important to be aware of this finding as it is a marker of poor cardiac outcomes. We report the case of a 68-year-old gentleman, who presented with progressive dyspnoea on exertion over three months. ECG showed a broad QRS complex with a RBBB pattern on the precordial leads and a LBBB pattern on the limb leads (suggestive of masquerading bundle branch block). A coronary angiogram revealed severe Triple Vessel Disease (TVD). The patient was scheduled for an early Coronary Artery By-Pass Grafting Surgery. However, his clinical condition deteriorated and he died while awaiting the surgery.https://jcdr.net/articles/PDF/8472/20572_CE[Ra1]_F(P)_PF1(ASAK)_PFA(AK)_PF2(PEK).pdfcongestive heart failureleft anterior hemi fascicular blocktriple vessel disease |
| spellingShingle | Suheil Dhanse Hashir Kareem Tom Devasia Mugula Sudhakar Rao Masquerading Bundle Branch Block: A Poor Prognostic Sign Revisited Journal of Clinical and Diagnostic Research congestive heart failure left anterior hemi fascicular block triple vessel disease |
| title | Masquerading Bundle Branch Block: A Poor Prognostic Sign Revisited |
| title_full | Masquerading Bundle Branch Block: A Poor Prognostic Sign Revisited |
| title_fullStr | Masquerading Bundle Branch Block: A Poor Prognostic Sign Revisited |
| title_full_unstemmed | Masquerading Bundle Branch Block: A Poor Prognostic Sign Revisited |
| title_short | Masquerading Bundle Branch Block: A Poor Prognostic Sign Revisited |
| title_sort | masquerading bundle branch block a poor prognostic sign revisited |
| topic | congestive heart failure left anterior hemi fascicular block triple vessel disease |
| url | https://jcdr.net/articles/PDF/8472/20572_CE[Ra1]_F(P)_PF1(ASAK)_PFA(AK)_PF2(PEK).pdf |
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