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Right Ventricular Conduction Delay by ECG Finding

MedGen UID:: 457150
•Concept ID:: C2984924
•: Finding

Synonyms:

Right Ventricular Conduction Delay; Right Ventricular Conduction Delay by EKG Finding; Right Ventricular Delay

Definition

An electrocardiographic finding in which there is evidence that electrical transmission through the right ventricle is impaired with a maximal QRS duration of 110 ms and which does not meet the criteria for Incomplete Right Bundle Branch Block. (CDISC) [from NCI]

Professional guidelines

PubMed

Intermittent isolated anterior displacement of QRS complex - Differential diagnosis.

Alboni P, Holzl A, Baggioni GF
J Electrocardiol 2023 Nov-Dec;81:224-229. Epub 2023 Oct 9 doi: 10.1016/j.jelectrocard.2023.10.003. PMID: 37837740

The Diagnosis, Risk Stratification, and Treatment of Brugada Syndrome.

Steinfurt J, Biermann J, Bode C, Odening KE
Dtsch Arztebl Int 2015 Jun 5;112(23):394-401. doi: 10.3238/arztebl.2015.0394. PMID: 26157012 Free PMC Article

New ECG criteria in arrhythmogenic right ventricular dysplasia/cardiomyopathy.

Cox MG, van der Smagt JJ, Wilde AA, Wiesfeld AC, Atsma DE, Nelen MR, Rodriguez LM, Loh P, Cramer MJ, Doevendans PA, van Tintelen JP, de Bakker JM, Hauer RN
Circ Arrhythm Electrophysiol 2009 Oct;2(5):524-30. Epub 2009 Jul 7 doi: 10.1161/CIRCEP.108.832519. PMID: 19843920

See all (9)

Recent clinical studies

Etiology

Delayed depolarization and histologic abnormalities underlie the Brugada syndrome.

Martini B, Martini N, De Mattia L, Buja G
Pacing Clin Electrophysiol 2023 Feb;46(2):172-181. Epub 2023 Jan 10 doi: 10.1111/pace.14650. PMID: 36542434

Right Ventricular Longitudinal Conduction Delay in Patients with Brugada Syndrome.

Yoon N, Jeong HK, Lee KH, Park HW, Cho JG
J Korean Med Sci 2021 Mar 22;36(11):e75. doi: 10.3346/jkms.2021.36.e75. PMID: 33754508 Free PMC Article

A contemporary view of atrioventricular nodal physiology.

Markowitz SM, Lerman BB
J Interv Card Electrophysiol 2018 Aug;52(3):271-279. Epub 2018 Jun 16 doi: 10.1007/s10840-018-0392-5. PMID: 29909540

Permanent His Bundle Pacing: The Past, Present, and Future.

Sharma PS, Ellenbogen KA, Trohman RG
J Cardiovasc Electrophysiol 2017 Apr;28(4):458-465. Epub 2017 Jan 25 doi: 10.1111/jce.13154. PMID: 28032941

Nonspecific intraventricular conduction delay: Definitions, prognosis, and implications for cardiac resynchronization therapy.

Eschalier R, Ploux S, Ritter P, Haïssaguerre M, Ellenbogen KA, Bordachar P
Heart Rhythm 2015 May;12(5):1071-9. Epub 2015 Jan 19 doi: 10.1016/j.hrthm.2015.01.023. PMID: 25614250

See all (255)

Diagnosis

Right Ventricular Longitudinal Conduction Delay in Patients with Brugada Syndrome.

Yoon N, Jeong HK, Lee KH, Park HW, Cho JG
J Korean Med Sci 2021 Mar 22;36(11):e75. doi: 10.3346/jkms.2021.36.e75. PMID: 33754508 Free PMC Article

Intraventricular Delay and Blocks.

Leonelli FM, Bagliani G, De Ponti R, Padeletti L
Card Electrophysiol Clin 2018 Jun;10(2):211-231. doi: 10.1016/j.ccep.2018.02.003. PMID: 29784481

Nonspecific intraventricular conduction delay: Definitions, prognosis, and implications for cardiac resynchronization therapy.

Eschalier R, Ploux S, Ritter P, Haïssaguerre M, Ellenbogen KA, Bordachar P
Heart Rhythm 2015 May;12(5):1071-9. Epub 2015 Jan 19 doi: 10.1016/j.hrthm.2015.01.023. PMID: 25614250

Defining left bundle branch block in the era of cardiac resynchronization therapy.

Strauss DG, Selvester RH, Wagner GS
Am J Cardiol 2011 Mar 15;107(6):927-34. doi: 10.1016/j.amjcard.2010.11.010. PMID: 21376930

The electrocardiogram and the athlete.

Ferst JA, Chaitman BR
Sports Med 1984 Sep-Oct;1(5):390-403. doi: 10.2165/00007256-198401050-00004. PMID: 6239355

See all (255)

Therapy

Stepwise application of ECG and electrogram-based criteria to ensure electrical resynchronization with left bundle branch pacing.

Pujol-López M, Ferró E, Borràs R, Garre P, Guasch E, Jiménez-Arjona R, Garcia-Ribas C, Doltra A, Niebla M, Carro E, Roca-Luque I, Guichard JB, Puente JL, Uribe L, Vázquez-Calvo S, Castel MÁ, Arbelo E, Porta-Sánchez A, Sitges M, Tolosana JM, Mont L
Europace 2023 Jun 2;25(6) doi: 10.1093/europace/euad128. PMID: 37294671 Free PMC Article

Electrocardiography guided left bundle branch pacing.

Ponnusamy SS, Vijayaraman P
J Electrocardiol 2021 Sep-Oct;68:11-13. Epub 2021 Jul 7 doi: 10.1016/j.jelectrocard.2021.07.001. PMID: 34252793

Alternative sites of ventricular pacing: His bundle pacing.

Vetta F, Marinaccio L, Vetta G
Monaldi Arch Chest Dis 2020 Apr 28;90(2) doi: 10.4081/monaldi.2020.1251. PMID: 32344995

Permanent His Bundle Pacing: The Past, Present, and Future.

Sharma PS, Ellenbogen KA, Trohman RG
J Cardiovasc Electrophysiol 2017 Apr;28(4):458-465. Epub 2017 Jan 25 doi: 10.1111/jce.13154. PMID: 28032941

Defining left bundle branch block in the era of cardiac resynchronization therapy.

Strauss DG, Selvester RH, Wagner GS
Am J Cardiol 2011 Mar 15;107(6):927-34. doi: 10.1016/j.amjcard.2010.11.010. PMID: 21376930

See all (132)

Prognosis

Stepwise application of ECG and electrogram-based criteria to ensure electrical resynchronization with left bundle branch pacing.

The Relationship of Conduction Disorder and Prognosis in Patients with Acute Coronary Syndrome.

Lee WC, Fang YN, Chen TY, Hsieh YY, Tsai YH, Fang HY, Wu PJ, Chen HC, Liu PY
Int J Clin Pract 2022;2022:9676434. Epub 2022 Oct 22 doi: 10.1155/2022/9676434. PMID: 36340965 Free PMC Article

A contemporary view of atrioventricular nodal physiology.

Markowitz SM, Lerman BB
J Interv Card Electrophysiol 2018 Aug;52(3):271-279. Epub 2018 Jun 16 doi: 10.1007/s10840-018-0392-5. PMID: 29909540

Intraventricular Delay and Blocks.

Leonelli FM, Bagliani G, De Ponti R, Padeletti L
Card Electrophysiol Clin 2018 Jun;10(2):211-231. doi: 10.1016/j.ccep.2018.02.003. PMID: 29784481

Nonspecific intraventricular conduction delay: Definitions, prognosis, and implications for cardiac resynchronization therapy.

Eschalier R, Ploux S, Ritter P, Haïssaguerre M, Ellenbogen KA, Bordachar P
Heart Rhythm 2015 May;12(5):1071-9. Epub 2015 Jan 19 doi: 10.1016/j.hrthm.2015.01.023. PMID: 25614250

See all (165)

Clinical prediction guides

Stepwise application of ECG and electrogram-based criteria to ensure electrical resynchronization with left bundle branch pacing.

Intraventricular Delay and Blocks.

Leonelli FM, Bagliani G, De Ponti R, Padeletti L
Card Electrophysiol Clin 2018 Jun;10(2):211-231. doi: 10.1016/j.ccep.2018.02.003. PMID: 29784481

Prediction of ventricular tachyarrhythmia in Brugada syndrome by right ventricular outflow tract conduction delay signs.

Ragab AAY, Houck CA, van der Does LJME, Lanters EAH, Muskens AJQM, de Groot NMS
J Cardiovasc Electrophysiol 2018 Jul;29(7):998-1003. Epub 2018 Apr 20 doi: 10.1111/jce.13496. PMID: 29608225

Fragmented ECG as a risk marker in cardiovascular diseases.

Jain R, Singh R, Yamini S, Das MK
Curr Cardiol Rev 2014 Aug;10(3):277-86. doi: 10.2174/1573403x10666140514103451. PMID: 24827794 Free PMC Article

The effect of hyperkalaemia on cardiac rhythm devices.

Barold SS, Herweg B
Europace 2014 Apr;16(4):467-76. Epub 2014 Jan 23 doi: 10.1093/europace/eut383. PMID: 24465006

See all (192)