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Discussion

BBB

how can I tell the difference between left and right bundle branch block

Featured Replies

Check out Lead 1 and you get your answer right away.

LBBB you will see a deep rapid S wave in V1 and will almost always see a wide QRS in Lead 1.

RBBB you will see a terminal R wave in lead aVR and terminal S waves in leads I, aVL, V5 and V6

This is an excellent website with more information than you can take. Analysis and Interpretation of the Electrocardiogram

Jonathan Coleman

Look in V1. If the QRS is wider than normal and theres a P wave and a T wave it's a bundle branch block. No find your J point. Back track to the first deflection before the Jo point. If the deflection is up, it's right sided. If its down, it's left sided.

wow thats a great website. really breaks it down and goes into the nitty gritty! Thanks!

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