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March 1, 1958CirculationOpen Access

The Concept of "Masquerading" Bundle-Branch Block

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Key result

In two patients with electrocardiographically identified masquerading bundle-branch block, detailed pathological evaluation revealed specific conduction system abnormalities.

Population

Patients with electrocardiographically presented 'masquerading' bundle-branch block

Design

Case_series

Authors

PUPaul N. UngerNorthwestern UniversityMLMilton E. LesserMiami Heart Research InstituteVKVictor H. KugelMount Sinai Hospital

Discussion

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Implication

May inform ECG-pathology links in masquerading BBB; leaves open validation in larger cohorts before clinical adoption.

Structured PICO

P
Population
Patients with electrocardiographically presented 'masquerading' bundle-branch block (LBBB pattern in limb leads and RBBB pattern in precordial leads)
O
Outcome
Pathologic findings in the conduction system and the entire heart

Masquerading bundle-branch block is anatomically associated with severe bilateral bundle branch lesions, massive ventricular hypertrophy, and septal myocardial damage.

Limitations

  • Does not include examination of the nerves of the conduction system and of the heart

Cite This Study

Unger et al. (1958) studied this question. In two patients with electrocardiographically identified masquerading bundle-branch block, detailed pathological evaluation revealed specific conduction system abnormalities.

synapsesocial.com/papers/6970eb032d1b404414ca79c2https://doi.org/10.1161/01.cir.17.3.397
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ELECTROCARDIOGRAPHIC CHANGES ASSOCIATED WITH MYOCARDIAL INVOLVEMENT1917 · 74 citations
  2. 2PATHOGENESIS OF BUNDLE BRANCH BLOCK1938 · 79 citations
  3. 3Aging Changes in the Human Atrioventricular Node, Bundle, and Bundle Branches1952 · 62 citations
  4. 4Aging Changes in the Human Sinoatrial Node1954 · 169 citations