The Changing Electrocardiogram in Wilson Block

Author:

PAPP CORNELIO1,SMITH K. SHIRLEY1

Affiliation:

1. From the Cardiac Department of Charing Cross Hospital and of the London Chest Hospital, and the private files of the authors.

Abstract

The significance of the Wilson variety of right bundle-branch block was investigated on the basis of serial electrocardiographic changes seen in almost half of the series. Wilson block may originate from both anteroseptal and posterior infarction; in the former it may form a solitary relic without prognostic significance; in the latter it denotes extensive septal involvement. It may modify the injury pattern of anterior infarction and may abolish the signs of posterior infarction; cardiac infarction may approximate it to the classic form of right bundle-branch block. Except in two patients, less than 4 per cent of the series, it was related to pathologic causes; it should therefore be regarded as a sign of organic heart disease.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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