Population
4 cases with A-V block (2 under the age of 30)
Design
Case_series
Authors
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Pattern suggests bilateral bundle branch block; hypothesis-generating case report leaves open prospective validation before clinical adoption.
This early case series describes an atypical bundle branch block pattern (marked left axis deviation with RBBB) upon restoration of A-V conduction, proposing bilateral bundle branch block as the mechanism.
Mashima et al. (1963) studied this question.
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