Blockage of right CRUs of atrioventricular bundle

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2018-03-18 06:35:31

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Blockade of the right bundle branch block – acquired by conduction within the ventricles of the heart. It occurs in 0.2% of young people. With age, the frequency of this arrhythmia increases to 0.45%. This disease almost always arises from the male half of the population.

The Main factor that provokes the development of this pathology is infarction in the acute phase. In people under forty years of blockade of right bundle branch block is benign, it has no connection with abnormalities of the cardiac tissue. In other cases, the development of this arrhythmia contributes to hypertension (60% of all cases). In rare cases it is caused by congenital anomalies (hypoplasia of the initial segment of the myocardium). Also, the appearance of this condition is influenced by the presence of heart defects: VSD, atrial walls, narrowing the mouth of the artery of the lung. Thrombembolia of this vessel in obstructive lung diseases of a chronic nature, leads to a stretching of the right ventricle, it may provoke arrhythmias.

Factors that contribute to the development of this condition are cardiomyopathy, blunt chest trauma, progressive muscular dystrophy, hyperkalemia, overdose drugs (procainamide, quinidine, cardiac glycosides), surgery on this organ (vertical ventriculotomy), tumors of the heart, syphilitic gum. Full blockade of the right bundle branch block has clinical symptoms that caused it. Some patients are determined by changes in the auscultation: splitting of the first (rarer) and the second tone (more common).

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On the electrocardiogram detected by the following diagnostic criteria: an increase in the ventricular complex, high R-wave, which is observed in the first thoracic leads, serrated R, also in the left lead is determined by the tooth, which has a different value; discordant direction S, ST.

Blockade of the right bundle branch block, treatment which, as it may seem, must be serious, and requires no special preparations. It also does not require echocardiology stimulation, which in ordinary cases is done with the aim of prevention in the event of a heart attack. If necessary, the treatment of diseases that always lead to this kind of arrhythmia. Blockade of the right bundle branch block that occurs in people of young age groups that do not have organic lesions of the cardiac tissue, has a relatively favorable prognosis. The isolated view of this arrhythmia will never be able to go in full AB AB blockade of the node.

According to the study, the simultaneous occurrence of these pathologies leads to a slight violation of conduction from the Atria to the ventricles. However, there could be possible deterioration of the clinical course of the blockade of this disease by reducing the conduction of impulses in the AB connection. When joining this type of arrhythmia is directly to hypertension, the course of the disease is much more complicated, the mortality under such conditions is high. The unfavorable feature is the presence of cardiomegaly, congestive heart failure, prolongation of the systolic period. Blockade of the right bundle branch block that occurs on a background of myocardial infarction, almost never goes into any arrhythmia associated with dysfunction of the holding in AB node. Therefore, this pathology is almost never has a high fatality rate. However, if you have serious heart complications, it can aggravate their course and impede the treatment that may be ineffective.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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