Arrhythmias & electrophysiology

Electrocardiographic and electrophysiological characteristics of ventricular arrhythmias from the right bundle branch of the moderator band

Heart RhythmPublished Mechanistic study

Authors' conclusion

QRS morphology of MB-RBB VAs is characterized by a typical left bundle branch block pattern with a relatively narrow QRS complex, short r wave and rS durations, and a sharp S wave downstroke without notching in leads V1 and V2. Mapping and ablation of the leading RBB potential are effective in eliminating VAs.

Study context

Population
Patients with ventricular arrhythmias (VAs) from the right bundle branch (RBB) of the moderator band or right ventricular (RV) anterior papillary muscle
Participants
16 vs 5
Comparison
MB-RBB VAs vs RV-APM VAs
  • MB-RBB VAsn = 16
  • RV-APM VAsn = 5reference
Outcome
ECG and electrophysiological characteristics of MB-RBB VAs
Methodological detailsintracardiac echocardiography-guided
  • Intracardiac echocardiography-guided

Main finding

As reported in the abstract

MB-RBB VAs: narrower QRS complex during VAs vs RV-APM VAs
P < .001

Original publication

Electrocardiographic and electrophysiological characteristics of ventricular arrhythmias from the right bundle branch of the moderator band. Heart Rhythm. Published 10 January 2023. doi:10.1016/j.hrthm.2023.01.005

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