Difference between revisions of "Bundle Branch Block"
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| + | == Introduction == | ||
| + | This condition is an '''abnormal ventricular excitation''' as the result of blockage to the right bundle branch, the left bundle branch, or left anterior fascicular block. | ||
| − | + | '''Right bundle branch block''' is characterised by the failure or delay of conduction through the right bundle branch. The left ventricle is unaffected. Some causes of this condition include pulmonary [[embolism]], [[Dirofilaria immitis|heart worm]], [[:Category:Electrolytes|electrolyte]] disturbances, congenital diseases etc. | |
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| + | In '''left bundle branch block''', there is failure of conduction through the left bundle branch and the right ventricle is unaffected. Causes of this include congenital abnormalities and [[:Category:Myocardial Pathology|myocardial diseases]]. | ||
| − | + | There can also be a '''left anterior fasicular block''', which is characterised by the failure of conduction through the anterior fascicle of the left bundle branch. Causes of this include electrolyte abnormalities and [[:Category:Cardiomyopathy|cardiomyopathies]] e.g. in the cat. | |
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| − | + | == Signalment == | |
| + | The disease is described in both cats and dogs. | ||
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| − | |||
| + | == Clinical Signs == | ||
| − | + | Many cases of bundle branch block are asymptomatic and are only detected on ECG. However, more severe cases will cause ventricular muscle damage and therefore signs of heart disease will occur. Some animals may present due to syncope, weakness or exercise intolerance. | |
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| − | ==== | + | == Diagnosis == |
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| − | + | An '''Electrocardiograph''' (ECG) is the diagnostic method of choice. | |
| − | + | :In a right bundle branch block, one may see a '''wide QRS complex and a wide S wave'''. | |
| + | :In left anterior fasicular block there will be a '''normal QRS wave, a tall R waves and deep S waves'''. | ||
| − | + | == Treatment == | |
| + | Unless the condition is congenital, treatment is by treating the underlying cause. | ||
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| + | == References == | ||
| − | + | Ettinger, S.J. and Feldman, E. C. (2000) Textbook of Veterinary Internal Medicine Diseases of the Dog and Cat Volume 2 (Fifth Edition), W.B. Saunders Company | |
| + | Ettinger, S.J, Feldman, E.C. (2005) Textbook of Veterinary Internal Medicine (6th edition, volume 2), W.B. Saunders Company | ||
| − | + | Fossum, T. W. et. al. (2007) Small Animal Surgery (Third Edition), Mosby Elsevier | |
| + | |||
| + | Merck & Co (2008) The Merck Veterinary Manual (Eighth Edition), Merial | ||
| + | |||
| + | Nelson, R.W. and Couto, C.G. (2009) Small Animal Internal Medicine (Fourth Edition), Mosby Elsevier. | ||
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| + | {{review}} | ||
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| + | {{OpenPages}} | ||
| + | |||
| + | [[Category:Impulse_Conduction_Abnormalities]] [[Category:Expert_Review]] | ||
| + | [[Category:Cardiology Section]] | ||
Latest revision as of 14:40, 15 October 2013
Introduction
This condition is an abnormal ventricular excitation as the result of blockage to the right bundle branch, the left bundle branch, or left anterior fascicular block.
Right bundle branch block is characterised by the failure or delay of conduction through the right bundle branch. The left ventricle is unaffected. Some causes of this condition include pulmonary embolism, heart worm, electrolyte disturbances, congenital diseases etc.
In left bundle branch block, there is failure of conduction through the left bundle branch and the right ventricle is unaffected. Causes of this include congenital abnormalities and myocardial diseases.
There can also be a left anterior fasicular block, which is characterised by the failure of conduction through the anterior fascicle of the left bundle branch. Causes of this include electrolyte abnormalities and cardiomyopathies e.g. in the cat.
Signalment
The disease is described in both cats and dogs.
Clinical Signs
Many cases of bundle branch block are asymptomatic and are only detected on ECG. However, more severe cases will cause ventricular muscle damage and therefore signs of heart disease will occur. Some animals may present due to syncope, weakness or exercise intolerance.
Diagnosis
An Electrocardiograph (ECG) is the diagnostic method of choice.
- In a right bundle branch block, one may see a wide QRS complex and a wide S wave.
- In left anterior fasicular block there will be a normal QRS wave, a tall R waves and deep S waves.
Treatment
Unless the condition is congenital, treatment is by treating the underlying cause.
References
Ettinger, S.J. and Feldman, E. C. (2000) Textbook of Veterinary Internal Medicine Diseases of the Dog and Cat Volume 2 (Fifth Edition), W.B. Saunders Company
Ettinger, S.J, Feldman, E.C. (2005) Textbook of Veterinary Internal Medicine (6th edition, volume 2), W.B. Saunders Company
Fossum, T. W. et. al. (2007) Small Animal Surgery (Third Edition), Mosby Elsevier
Merck & Co (2008) The Merck Veterinary Manual (Eighth Edition), Merial
Nelson, R.W. and Couto, C.G. (2009) Small Animal Internal Medicine (Fourth Edition), Mosby Elsevier.
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