Bundle branch blocks (BBBs) are conduction delays within the ventricles of the heart. You can see the effects of these delays on an electrocardiogram (ECG), which shows up as changes in the QRS complex.
A right bundle branch block (RBBB) means there’s a delay in the right ventricle, while a left bundle branch block (LBBB) means there’s a delay in the left ventricle.
Here, we’ll explain the ECG criteria, underlying electrophysiology, possible causes, and clinical implications of both RBBB and LBBB. We’ll also look at how our understanding of BBBs is changing, especially when it comes to acute myocardial infarction (AMI).
Knowing what’s going on in the heart is more useful than just memorizing patterns on an ECG.