Alternating Right and Left BBB Pattern and A-V Block of Various Degrees with Stokes-Adams Syndrome

Abstract
In a series of ECGs which had been recorded with a patient suffering from the Stokes-Adams syndrome, we observed 3 types of the QRS complex accompanied by various degrees of the A-V block; A) pattern of the left bundle branch block, B) pattern of the right bundle branch block and C) normal QRS complex.Analyses of these QRS complexes and P-Q intervals were carried out by means of the 12 leads ECG and Takayasu's orthogonal VCG. And genesis of these QRS complexes could be well explained applying the concept of the accelerated conduction theory presented by Prinzmetal.

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