Right Bundle Block Block Classic

Right bundle branch block (RBBB) – this is a violation of the conduction of impulses along the right branch of the His bundle in the system of the atria and ventricles. This condition can be caused by a variety of causes, including coronary heart disease, myocardial infarction, conduction disorders, and certain medications.

RBBB manifests itself on the ECG as changes in waves and intervals. One of the most characteristic signs of RBBB is the appearance of “rS” type waves in leads I and aVL, which indicates a slowdown in impulse conduction along the His bundle. The appearance of waves of the “rSR” or “rSRS” type in leads V1 and V2 may also be observed, which indicates incomplete conduction of the impulse along the right leg.

A widened QRS complex may also be a sign of RBBB. In addition, there may be a decrease in the amplitude of the R wave in the leads associated with the right bundle branch, which indicates a decrease in the activity of the right side of the heart.

Treatment for RBBB depends on the cause. In some cases, drug therapy is sufficient, for example, the use of drugs to improve impulse conduction. In other cases, surgery may be required.

Overall, RBBB is a serious condition that can lead to serious complications such as heart failure and arrhythmias. Therefore, it is important to promptly diagnose RBBB and begin treatment.



Right bundle branch block (RBBB) is a disorder in the conduction of electrical impulses between the atria and ventricles of the heart. This pathology can be caused by various diseases, such as myocardial infarction, heart failure or rheumatism.

In RBBB, there is a delay in the electrical signals transmitted through the right ventricle of the heart, which disrupts the heart's normal electrical activity and can lead to abnormal heart rhythms, swelling, and heart failure.

Symptoms of RBBB may include dizziness, headaches, fainting, shortness of breath, weakness, fatigue and chest pain.

Modern methods for diagnosing right bundle branch block include ECG, stress tests and echocardiography. However, most cases of blockade are asymptomatic. If you have symptoms of blockade, it is important to consult a cardiologist to assess the risk of complications and determine the optimal treatment.

Antiarrhythmic drugs are usually prescribed first to maintain the heart rate (FHS) below its maximum rate. And at the same time, a pacemaker is inserted to create an additional impulse to restore normal conduction activity. As the heart rate decreases, Wolff-Parkinson-White syndrome goes away. In addition, drug therapy may also include the administration of atropine sulfate, procainamide, sotalol or propranolol.

Surgical therapy for incomplete blocks is carried out to correct the source of the electrogram and should be supplemented with drug treatment to control arrhythmias. In more severe cases that do not respond to drug therapy, it may be necessary to install an artificial heart pacemaker or cardioverter-defibrillator to stabilize the heart rhythm.

In conclusion, it should be noted that blockade of the right bundle branches of Hisoib is a serious heart disease that requires timely diagnosis and treatment. If you have symptoms, it is recommended to consult a doctor for examination and appropriate treatment. Remember, heart health is the key to your life, so it's worth taking care of it throughout your life.