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8/18/2019 Propa Research Paper on His Bundle 2nd
1/17
KURSK STATE MEDICAL UNIVERSITY
RESEARCH PAPER
TOPIC : DIFFERENT TYPE OF BLOCK ON BUNDLE OF HIS AND ITS
CORRESPONDING ECG
TEACHER NAME : M.D ASSOCIATE PROFESSOR PhD
DIMITRI VIKTOROVICH
POLYAKOV
STUDENT NAME : 3RD
YEAR 6 TH
SEMESTERGROUP 21
YOKENTHIRAN S/O GANDHI
INIOLUWA FAMBEGBE
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
2/17
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
3/17
Diferent branches o His bundle.
AV NODE > BUNDLE OF HI > LEF! BUNDLE
B"AN#H > LEF! $O!E"IO" FA#I#LE AND
LEF! AN!E"IO" FA#I#LE.
AV NODE > BUNDLE OF HI > "I%H! BUNDLE
B"AN#H
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
4/17
N$!%& '&'"(!)"& "$*+,"()$* --('% $ (h' h'!(.
A&& %$"!+)& -'0%'*(- !' '")('+ &%$-(-)%,&(*'$,-& ,!&' -()*)*04.
1. S)*$(!)& *$+'
2. A(!)$5'*(!)",&! *$+'.
C$*+,"()$* )* RBBB : W)(h &$"70' )* (h' !)0h(
,*+&' !*"h !'+48 (h' &'( 5'*(!)"&' )- '")('+ )*()%' ,!&'48 9h)&' (h' '")(()$* $ (h' !)0h(
5'*(!)"&' (7'- +'($,! 5) (h' &'( ,*+&' !*"h
&,' !!$9-4.
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
5/17
R)0h( ,*+&' !*"h &$"71. A"()5()$* $ (h' !)0h( 5'*(!)"&'
+'&'+ ($ +'$&!)()$* h- ($
-!'+ (h!$,0h (h' -'(,% !$%
(h' &'( 5'*(!)"&'.2. D'&'+ !)0h( 5'*(!)",&! !$+,"'-
-'"$*+! R 95' )* !)0h(
!'"$!+)& &'+- V1;34 *+ 9)+'-&,!!'+ S 95'- )* &('!& &'+-.
3. D'&'+ "()5()$* $ !)0h(
5'*(!)"&' 0)5'- !)-' ($ -'"$*+!
!'$&!)()$* *$!%&)()'- 9)(h
ST +'!'--)$* *+ T 95'
)*5'!-)$* )* !)0h( !'"$!+)& &'+-.
E#% chan&es in "BBB
Dia&nostic #riteria
B!$+ (('!* )* V1;3 ?M;-h'+>
8/18/2019 Propa Research Paper on His Bundle 2nd
6/17
1ariant o the +" co'(le,. !his is re3uentl2 seen in teena&ers and does not necessaril2
re(resent a serious heart condition.
N$!%& '&'"(!)"& "$*+,"()$* --('% $ (h' h'!(.
A&& %$"!+)& -'0%'*(- !' '")('+ &%$-(-)%,&(*'$,-& ,!&' -()*)*04.
1. S)*$(!)& *$+'
2. A(!)$5'*(!)",&! *$+'.
C$*+,"()$* )* RBBB : W)(h &$"70' )* (h' &'(
,*+&' !*"h !'+48 (h' !)0h( 5'*(!)"&' )- '")('+ )*
()%'8 9h)&' (h' '")(()$* $ (h' &'( 5'*(!)"&' (7'- +'($,! 5) (h' !)0h( ,*+&' !*"h &,' !!$9-4.
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
7/17
L'( ,*+&' !*"h &$"71. Th' -'(,% )- "()5('+ !$% &'( ($
!)0h( 8 !$+,")*0 -%&& < 95'- )*&('!& &'+-. I* LBBB *$!%&
+)!'"()$* $ -'(& +'$&!)()$* )-
!'5'!-'+ '"$%'- !)0h( ($ &'(4 -
)%,&-' -!'+- !-( !$% ($ !)0h(
5'*(!)"&' 5) RBB *+ (h'* ($ &'(
5'*(!)"&' (h!$,0h -'(,%.
Dia&nostic #riteria
8/18/2019 Propa Research Paper on His Bundle 2nd
8/17
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
9/17
L'( *('!)$! -")",&! $ H)- ,*+&'
&$"71. I* &'( *('!)$! -")",&! &$"7 7
&'( 5'*(!)",&! h'%)&$"74 8 )%,&-'-
!' "$*+,"('+ ($ &'( 5'*(!)"&' 5)
&'( $-('!)$! -")"&' 8 9h)"h )*-'!(-
)*($ )*'!$ -'(& 9&& $ &'(
5'*(!)"&' &$*0 )(- '*+$"!+)&
-,!"'.2. L'( )- +'5)()$* '(9''* ;@ *+
;# +'0!''-.3. S%&& < 95'- 9)(h (&& R 95'-
8/18/2019 Propa Research Paper on His Bundle 2nd
10/17
L'( $-('!)$! -")",&! $ H)-
,*+&' &$"71. L'( $-('!)$! -")",&! &$"7
7 &'( $-('!)$!
h'%)&$"748 )%,&-'- !'
"$*+,"('+ ($ (h' &'(
5'*(!)"&' 5) (h' &'( *('!)$!
-")"&'8 9h)"h )*-'!(- )*($
(h' ,'!8 &('!& 9&& $ (h'&'( 5'*(!)"&' &$*0 )(-
'*+$"!+)& -,!"'.
Dia&nostic #riteria or L$FB
2. R)0h( )- +'5)()$* = #
+'0!''-43. S%&& R 95'- 9)(h +'' S
95'- ?!S "$%&''->4 )*
&'+- I *+ VL. S%&& < 95'- 9)(h (&& R
95'- ?R "$%&''->4 )*
&'+- II8 III *+ VF@.
8/18/2019 Propa Research Paper on His Bundle 2nd
11/17
B)-")",&! &$"7 !)0h( ,*+&' !*"h &$"7
*+ &'( *('!)$! -")",&! &$"74
E"0 "!)('!) :
ECG 9)&& -h$9 ()"& '(,!'- $ RBBB &,-
')(h'! &'( $! !)0h( )- +'5)()$*
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
12/17
R)0h( ,*+&' !*"h &$"7 9)(h &'( $-('!)$!
-")",&! &$"7.
E"0 "!)('!) :
Th' RBBB )- +)0*$-'+ (h' $&&$9)*0
"!)('!): 9)+'
8/18/2019 Propa Research Paper on His Bundle 2nd
13/17
A",(' A*('!)$!;&('!& M.I. W)(h R)0h( B,*+&' B!*"h
B&$"7 *+ L'( P$-('!)$! F-")",&! B&$"7
E"0 "!)('!):
ECG 9- $()*'+ !$% ()'*( 9h$ -,'!'+ *
$""&,-)$* $ (h' &'( %)* "$!$*! !('!. ST
'&'5()$* )- -''* )* L'+- V1 (h!$,0h V68 - 9'&& -
I *+ VL. Th)- )- * )*+)"($! (h( (h' ")!",%'
!('! )- )*"&,+'+ )* (h)- M.I.8 *+ (h' $""&,-)$* )-$5' (h' ),!"()$* $ (h' LM *+ (h' ")!". Th'
()'*( &-$ h- !)0h( ,*+&' !*"h &$"7 *+
&'( $-('!)$! -")",&! &$"7. Th)- );-")",&!
&$"7 "* ' +*0'!$,- "$%&)"()$* $ ",('
M.I.8 - (9$ $ (h' (h!'' %)* ,*+&' !*"h'- !'
*$ &$*0'! ,*"()$*&.
Th' !)0h( ,*+&' !*"h &$"7 )- +)0*$-'+ (h'
$&&$9)*0 "!)('!): 14 W)+'
8/18/2019 Propa Research Paper on His Bundle 2nd
14/17
I*"$%&'(' T!)-")",&! B&$"7:
R)0h( ,*+&' !*"h &$"7 9)(h &'( *('!)$!
-")",&! &$"7 *+ !-( +'0!'' 5 &$"7.
L'( )- +'5)()$* &'( *('!)$! -")",&!
&$"74
F)!-( +'0!'' AV &$"7
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
15/17
I*"$%&'(' T!)-")",&! B&$"7:
R)0h( ,*+&' !*"h &$"7 9)(h &'( *('!)$!
-")",&! &$"7 *+ -'"$*+ +'0!'' 5 &$"7.
L'( )- +'5)()$* &'( *('!)$! -")",&!
&$"74
-'"$*+ +'0!'' AV &$"7
C$%&'(' T!)-")",&! B&$"7:
R)0h( ,*+&' !*"h &$"7 9)(h &'( *('!)$!
-")",&! &$"7 *+ 3!+ +'0!'' 5 &$"7.
L'( )- +'5)()$* L'( *('!)$! -")",&! &$"74
Th)!+ +'0!'' h'!( &$"7
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
16/17
ECG "$%)*()$* !)0h( ,*+&' !*"h &$"7 *+
&'( $-('!)$! !*"h &$"7+'
D)0*$-()" :
1.
M!"h 2#16
8/18/2019 Propa Research Paper on His Bundle 2nd
17/17
. E'il2 %roe((er0 Nasar Nalla'othu0 4ilred La'0 Fran) A&uirre0 5risti Ber&'an0 $atricia
%ood0 $atricia 4ri&ht 67a2 80 /-9:. ;Electrocardio&ra(h2 > Let Bundle Branch Bloc)
6LBBB:;. IU chool o 7edicine/. 5e1in