ECG Assessment: Right Bundle Branch Block

ECG assessment
University
Unit
Name
Tutor
Date

1.Other What is your
initial
impression?
Right bundle branch block
2.Rate What is the
heart rate?
75 beats/min
3. Rhythm Is the rhythm
regular?
Regular rhythm
4. P
waves
Are they
present?
P wave present constant PR intervals
5. QRS Are they
present?
Yes QRS present. QRS broadened on anterior leads
6. T wave Are they
present?
6. Interpretation or management- what are you going to do with this ECG?
Interpretation: Normal display
Management of right bundle branch block
The diagnosis of right bundle branch entails the inactivation of the right ventricle. This results in normal activation of the
left branch. The conduction of myocardium is observed to be slower and depolarized in the right ventricle, this leads to
widening of the QRS complex thus showing an extrapolated deflection indicating rapid depolarization on the left sized
followed by right ventricle depolarization. The key cause of this can entail normal variant, right ventricular hypertrophy or
underlying congenital diseases (Xiang et al., 2016).
Common diagnostic assessment of right bundle branch block entails rhythm origination from the ventricles to the
activation point, duration of QRS needs to be more than 100 ms and must be prolonged in the S wave. RBBB occurring after
complete occlusion on the proximal left anterior on the descending side is often a predictor of mortality.
The ECG assessments above indicate to be normal ranges with a regular rhythm. The QRS and Twave are normal, there are
slurred waves leading I and aVL and frequently on the V5 and V6. The impression created in this ECG depicts association
with an impression of RBB first degree on AV block.
The underlying management of right bundle branch block entails medication management to manage underlying
medication. In cases where there is a blockage on the arteries such as coronary heart disease, invasive management is
crucial for managing and relieving impeding in RBBB. Management of occurrence of RBBB entail wide and various process
such as fibrinolysis, cardiac catheterization, the percutaneous intervention of coronary and left ventricular function (Chan
et al., 2016). Thus management of the underlying conditions will be critical in managing the occurring RBBB, thus
normalizing the electric waves in the heart.