Complete blockade of the right bundle branch leg

author: doctor Pyataeva Margarita

The attending physician appointed you an electrocardiogram: a squeaking apparatus, a whole heap of wires with suction cups and a long tape covered with mysterious curves, as a result. What do these teeth and knolls say?

In a nutshell, unfortunately, the technique of decoding the ECG will not tell. However, it is possible and necessary to understand the causes and significance of those changes that the specialist will identify. For example, if it is an inconvenient abbreviation - PBSCH, also known as a complete blockade of the right leg of the bundle.

So, why the blockade is complete, what is the bundle of His, and, most importantly, where does he get the legs, you will learn by reading this article.

Electropulse path

The heart, unlike other muscles, is more independent, because in order to raise the hand elementary, our brain generates hundreds of electrical signals that sweep with nerves to the muscles at a great speed, informing them of the necessary action. Heart such a scheme without the need: a tiny site in the left atrium with a regular frequency generates electrical impulses. These signals through special "paths" -conducting paths, spread to each cell of the myocardium, causing their contraction. The place where every heartbeat is born is called the atrial node. From there, the wave of contraction immediately spreads to both atriums, but to the ventricles the impulse can only enter through the atrioventricular node.

The atrioventricular node is named according to its location on the atrium (Latin Atrium) and ventricular (Ventriculus).

After the exit from this node, the conducting path is called the bundle of the Geis, which almost immediately divides into the left and right legs, and the left one is further crushed once more into the anterior and posterior branches. All of them end with even finer and branched fibers of Purkinje. Such a scheme for carrying out an electric wave is necessary to ensure the fastest and instantaneous propagation of an electric discharge throughout the entire mass of the ventricles. It is the synchronism of the contractions of each cell of the myocardium that allows the heart to work efficiently and to pump large amounts of blood without excessive efforts.

Difficulties in the road

In some pathologies of the heart, the passage of an electric wave along conducting paths is difficult or completely ceases, which is called the term "blockade". Since such a problem can occur at any of the sites, beginning from the atrial node and ending with the ventricular branches, it will also have a name corresponding to the place of "breakage". When the right leg is injured, conducting an electric pulse along it can be slowed down or do not pass through all of its fibers, in such cases they say incomplete blockade. If, on the other hand, the right leg is completely unable to pass signals coming from overlying areas, then such a blockade is called full, respectively, and pulses arrive to blocked sections in a roundabout way.

In order to record the course of the electric pulse in the heart, and based on the data obtained, to assess its state, electrocardiography is used. This method is based on the fact that healthy parts of the heart muscle conduct signals from the atrial node differently than those that are affected by the disease.

Do not worry that the ECG device will shock you. Since it is designed in such a way as to receive and record such "blows" from your heart, but not vice versa.

Physically, a person can not feel the blockade of the legs of the ventricular bundle, in contrast to, for example, extrasystoles (an extraordinary contraction of the heart). However, this is not an excuse to take such a find lightly. It is necessary to listen to the recommendations of the attending physician, and also at least once a year to undergo preventive medical examination.

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Morgan Schiller: Awesome vid. I had mine done yesterday to get some cortisone around some painful hardware. It was fantastic. Does it hurt, pft YEAH, do you need to be sedated, thats all on you. If your not into pain and are prone to being jumpy, do it. Its easier to be relaxed for * atleast your first time. Then go bucking off the table with needles in your back. Some doctors are very quiet when they do this Some will talk you through it. I have had my PM doc talk me through them, while my new doc who will be my new surgeon was very quiet. My advice, do your research, and find doc you like.

B. L.: Why not do endoscopic rhizotomy and cut the offending nerve rather than heat it and numb it temporarily. Having it repeated again and again is cost prohibitive. More pain physicians are using direct visualized endoscopic rhizotomy. Radio frequency ablation is a poor runner up and is never a lasting solution

peejay: B. Proctor I am scheduled to have an MBB Lumbar soon, but there is no prior treatment. Is this usual?

Aitanga Irish: I’ve EKG it didn’t work, dye discs hurts me, three point injections and still doc will give me more painkillers meds. Length for me to recover of my pain: Unknown/ lifetime. I’ve been in injections it didn’t work, cause it just temporary pain blocker and the pain that’s cause next time will come painful.

dropdeadfred: I'm having this done soon. I have had it done quite a few times and luckily the surgeon who I'm currently under uses sedation, some of them don't. I usually get about 4 days of relief from this. It is sometimes followed by nerve ablation which I am not keen on as one time I had this and it made my nerves so live and I ended up in more pain than before the procedure.

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