Electrocardiographic signs of left bundle branch block and prediction of response to biventricular and conduction system pacing
https://doi.org/10.15829/1560-4071-2024-6182
EDN: OBRYEU
Abstract
The paper presents an analysis of Russian and foreign studies on left bundle branch block (LBBB) and the analysis of electrocardiographic (ECG) criteria for selecting patients for cardiac resynchronization therapy. The features of LBBB classification are considered, including true and false forms, as well as differences in conduction block location with a similar ECG performance. Particular attention is paid to the problem of variability of existing ECG criteria and the prognostic significance of individual ECG signs. The importance of developing new criteria for improving diagnostics and increasing the effectiveness of treatment of LBBB patients is emphasized to improve selection for biventricular and conduction system pacing.
Keywords
left bundle branch block,
electrocardiography,
cardiac resynchronization therapy,
conduction system pacing
Supporting agencies: State assignment A22-122012000074-3: Development of a personalized approach to choosing the optimal strategy for treatment and prevention in patients with hypertrophic cardiomyopathy.
About the Authors
L. M. Malishevsky
Almazov National Medical Research Center; Institute of Immunology and Physiology
Russian Federation
Competing Interests:
Russian Federation
St. Petersburg; Yekaterinburg
Competing Interests:
None
D. S. Lebedev
Almazov National Medical Research Center; Institute of Immunology and Physiology
Russian Federation
Competing Interests:
Russian Federation
St. Petersburg; Yekaterinburg
Competing Interests:
None
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Supplementary files
- Diagnosis of left bundle branch block (LBBB) remains a complex clinical problem due to the variety of ventricular activation patterns, as well as different conduction block location with a similar electrocardiographic pattern.
- A comparative analysis of Russian and international criteria for LBBB diagnosis and their prognostic value for cardiac resynchronization therapy (CRT) is presented.
- The advantages and limitations of current electrocardiographic criteria for predicting response to CRT are identified.
- Novel diagnostic approaches and criteria for proximal LBBB, identified based on a study of patients with surgically induced proximal left bundle branch block, are described.
Review
For citations:
Malishevsky L.M., Lebedev D.S. Electrocardiographic signs of left bundle branch block and prediction of response to biventricular and conduction system pacing. Russian Journal of Cardiology. 2024;29(4S):6182. (In Russ.) https://doi.org/10.15829/1560-4071-2024-6182. EDN: OBRYEU
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