describe William morrow
LBBB: W in V1, M in V6
RBBB: M in V1, W in V6
characteristics of LBBB
-wide QRS
-deep S wave in V1-3 (W)
- tall notched R in V5-6
-ST and T changes
- LAD (+ I, - AVF)
RBBB characteristics
RSR at V1-3 (second R taller and wider)
-wide slurred s in V6
-normal axis
-wide QRS
why is the QRS slurred in RBBB
RBB blocked, RV will depol after the LV, and it occurs slowly, muscle fibre to muscle fibre, thus a slur that draws it out
V1 changes in RBB and why they occur
V 1 Is a right sided lead, so the last part of the QRS in a RBBB will be upright, rather than its normal negative
LAFB leads to
LAD
LPFB leads too
RAD
RBBB plus LAD=
RBBB with LAFB
RBBB plus RAD=
LPFB