Arrhythmias & electrophysiologyCohort study

Prevalence and clinical significance of electrocardiographic complete right bundle branch block in young individuals

Eur J Prev CardiolPublished

  • Cohort study
  • consecutive individuals

Authors' conclusion

The prevalence of CRBBB in young individuals was 0.1% and was more prevalent in males and in athletes. CRBBB-related conditions were identified in 5% of individuals and were more common in individuals with non-isolated CRBBB and more pronounced intraventricular conduction delay (QRS duration of ≥130 ms).

Study context

Population
Young individuals aged 14–35 years undergoing cardiovascular assessment (health questionnaire, ECG, clinical consultation, selective echocardiography), 2008–2018mean follow-up 7.3 ± 2.7 years
Participants
104,369 individuals
Outcome
Prevalence and significance of complete right bundle branch block (CRBBB)

Main finding

As reported in the abstract

CRBBB prevalence

Complete right bundle branch block (CRBBB) identified

154 (0.1%)

CRBBB-related cardiac conditions among CRBBB (4 atrial septal defect, 1 Brugada syndrome, 1 progressive cardiac conduction disease, 1 AF)

7 (5%)

Observational data: associations, not effects.

Further findings

OutcomeValuesP value
CRBBB prevalence by sexMales 0.20% · Females 0.06%P < 0.05
CRBBB prevalence by athletic statusAthletes 0.25% · Non-athletes 0.14%P < 0.05
Pathology identified, non-isolated vs isolated CRBBBNon-isolated CRBBB 14% · Isolated CRBBB 1%P < 0.05
Pathology identified, by QRS durationQRS ≥130 ms 10% · QRS <130 ms 1%P < 0.05

Original publication

Prevalence and clinical significance of electrocardiographic complete right bundle branch block in young individuals. Eur J Prev Cardiol. Published 27 February 2024. doi:10.1093/eurjpc/zwae082

Summarised from the published abstract; every number is checked against it