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Catheter‐induced right bundle branch block: Practical implications for the cardiac electrophysiologist

Research Authors
Hussam Ali, Pierpaolo Lupo, Sara Foresti, Guido De Ambroggi, Robert H Anderson, Carmine De Lucia, Dario Turturiello, Edoardo Maria Paganini, Riccardo Bessi, Igino Contrafatto, Ahmad Abdelrady Abdelsalam Farghaly, Ernesto Cristiano, Riccardo Cappato
Research Date
Research Department
Research Journal
Journal of Cardiovascular Electrophysiology
Research Vol
Volume 34, Issue 11
Research Website
https://scholar.google.com.eg/scholar?oi=bibs&cluster=8407366899643227796&btnI=1&hl=en
Research Year
2023
Research_Pages
2316-2329
Research Abstract

The right bundle branch (RBB), due to its endocardial course, is susceptible to traumatic block caused by “bumping” during right‐heart catheterization. In the era of cardiac electrophysiology, catheter‐induced RBB block (CI‐RBBB) has become a common phenomenon observed during electrophysiological studies and catheter ablation procedures. While typically transient, it may persist for the entire procedure time. Compared to pre‐existing RBBB, the transient nature of CI‐RBBB allows for comparative analysis relative to the baseline rhythm. Furthermore, unlike functional RBBB, it occurs at similar heart rates, making the comparison of conduction intervals more reliable. While CI‐RBBB can provide valuable diagnostic information in various conditions, it is often overlooked by cardiac electrophysiologists. Though it is usually a benign and self‐limiting conduction defect, it may occasionally lead to diagnostic …