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You can see the M pattern in ECG in place of ORS complex. In case of right bundle branch block, you see the M pattern in lead V one. In case of left bundle branch block, you see the M pattern in lead V six.

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12y ago

right or left bundle branch block
The bundle branches are the part of the conduction system which conducts impulses from the atria and into the ventricles. If there is a block in the left bundle branch, this will affect the left ventricle and if there is a block in the right bundle branch, this will affect the right ventricle. ECGs are very complex and a basic understanding of how an ECG works and what they represent is needed before being able to understand bundle branch blocks - but this is the basic changes you will see on an ECG: On an ECG a block in either the right or left bundle branches will be shown as wide QRS complexes as the impulse is having to travel from cell to cell which is a lot slower than if it travels through the conduction pathways. In Left bundle branch block, the impulse is travelling from the right ventricle (which is working normally) to the left ventricle. Therefore lead V1 will be a negative deflection as the impulse is travelling away from that lead and towards V6 (which will therefore be positive). There may also be some notching at the top of the QRS complexes in other leads. In Right bundle branch block, the right ventricle is affected and the impulse is travelling from the left ventricle and then by cell to cell conduction in the right. In a healthy heart, the contraction of the right ventricle is hidden by the QRS complex which represents the left ventricle contracting. However if the right bundle is blocked, the contraction of the right ventricle will be delayed which is shown on the ECG by the 'rabbit ears' appearance of the QRS complex. There will also be slurred S waves in leads I and V6.

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right or left bundle branch block

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Q: If a myocardial infarct destroyed a portion of the right or left bundle branches what potential change might you see in the ECG?
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