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{{SI}}
{{Intraventricular conduction delay}}
{{CMG}}
'''For patient information, click [[Intraventricular conduction delay (patient information)|here]]'''
 
{{CMG}}; {{AE}} {{M.P}}


{{SK}} QRS prolongation; wide QRS; wide QRS complex; wide QRS complexes; IVCD; IVCDs; intraventricular conduction defect; non-specific intraventricular conduction delay; non-specific intraventricular conduction defect
{{SK}} QRS prolongation; wide QRS; wide QRS complex; wide QRS complexes; IVCD; IVCDs; intraventricular conduction defect; non-specific intraventricular conduction delay; non-specific intraventricular conduction defect


==Overview==
==[[Intraventricular conduction delay overview|Overview]]==
Intraventricular conduction delay is characterized by a prolonged time for electrical impulses to traverse the ventricles of the heart as demonstrated by a wide [[QRS interval]] or QRS prolongation.  The QRS complex represents electrical activation of the ventricle. Widening of the QRS complex may reflect delayed conduction in the [[bundle of His]], [[bundle branch]] or [[purkinje conduction system]].
 
==[[Intraventricular conduction delay anatomy and physiology|Anatomy and Physiology]]==
 
==[[Intraventricular conduction delay classification|Classification]]==
 
==[[Intraventricular conduction delay pathophysiology|Pathophysiology]]==
 
==[[Intraventricular conduction delay causes|Causes]]==
 
==[[Intraventricular conduction delay differential diagnosis|Differentiating Intraventricular conduction delay from other Disorders]]==


==Causes==
==[[Intraventricular conduction delay epidemiology and demographics|Epidemiology and Demographics]]==
*[[Hypothermia]]
 
*[[Incomplete left bundle branch block]]
==[[Intraventricular conduction delay natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
*[[Incomplete right bundle branch block]]
 
==Diagnosis==
[[Intraventricular conduction delay history and symptoms|History and Symptoms]] | [[Intraventricular conduction delay_physical_examination|Physical Examination]] | [[Intraventricular conduction delay laboratory findings|Laboratory Findings]] | [[Intraventricular conduction delay electrocardiogram|Electrocardiogram]] | [[Intraventricular conduction delay EKG examples|EKG Examples]] | [[Intraventricular conduction delay chest x-ray|Chest X Ray]] | [[Intraventricular conduction delay echocardiography|Echocardiography]]  | [[Intraventricular conduction delay coronary angiography|Coronary Angiography]]
 
==Treatment==
[[Intraventricular conduction delay medical therapy|Medical Therapy]] | [[Intraventricular conduction delay electrical cardioversion|Electrical Cardioversion]] | [[Intraventricular conduction delay ablation|Ablation]] | [[Intraventricular conduction delay surgery|Surgery]] | [[Intraventricular conduction delay primary prevention|Primary Prevention]] | [[Intraventricular conduction delay secondary prevention|Secondary Prevention]] | [[Intraventricular conduction delay cost effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Intraventricular conduction delay future or investigational therapies|Future or Investigational Therapies]]
 
==Case Studies==
[[Intraventricular conduction delay case study one|Case #1]]
 
==Related Chapters==
*[[Left bundle branch block]]
*[[Right bundle branch block]]
*[[Left anterior fascicular block]]
*[[Left anterior fascicular block]]
*[[Left bundle branch block]]
*[[Left posterior fascicular block]]
*[[Left posterior fascicular block]]
*Non-specific intraventricular conduction delay (NSIVCD) (when the [[QRS]] is wide and the definitions of [[LBBB]] and [[RBBB]] are not met)
*[[Right bundle branch block]]


==EKG Findings==
The ECG is in sinus rhythm and the QRS is markedly widened with a QRS duration of 260ms. The QRS seems split and gives the impression of ventricular bigemini but note that the second QRS deflection that looks like a PVC is in fact 200 ms after the onset of the first part of the QRS and hence too early for a PVC. Of interest this patient has recurrent ventricular tachycardia which may relate to his grossly widened QRS.


[[File:Intraventricularconductiondefect.jpg|center|500px]]
[[Category:Disease]]
[[Category:Electrophysiology]]
[[Category:Cardiology]]
[[Category:Arrhythmia]]
[[Category:Emergency medicine]]
[[Category:Intensive care medicine]]
[[Category:Best pages]]
[[Category:Up-To-Date cardiology]]
[[Category:Up-To-Date]]


==References==
{{Reflist|2}}


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Latest revision as of 23:22, 11 September 2013

Intraventricular conduction delay Microchapters

Home

Overview

Anatomy and Physiology

Classification

Pathophysiology

Causes

Differentiating Intraventricular conduction delay from other Disorders

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

EKG Examples

Chest X Ray

Echocardiography

Coronary Angiography

Treatment

Medical Therapy

Electrical Cardioversion

Ablation

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Intraventricular conduction delay On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Intraventricular conduction delay

CDC onIntraventricular conduction delay

Intraventricular conduction delay in the news

Blogs on Intraventricular conduction delay

to Hospitals Treating Intraventricular conduction delay

Risk calculators and risk factors for Intraventricular conduction delay

For patient information, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mugilan Poongkunran M.B.B.S [2]

Synonyms and keywords: QRS prolongation; wide QRS; wide QRS complex; wide QRS complexes; IVCD; IVCDs; intraventricular conduction defect; non-specific intraventricular conduction delay; non-specific intraventricular conduction defect

Overview

Anatomy and Physiology

Classification

Pathophysiology

Causes

Differentiating Intraventricular conduction delay from other Disorders

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | EKG Examples | Chest X Ray | Echocardiography | Coronary Angiography

Treatment

Medical Therapy | Electrical Cardioversion | Ablation | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters


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