CRBBBComplete Right Bundle Branch Block
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A systematic review and meta-analysis of 3,007 patients by Shopp et al found six ECG findings (heart rate, S1Q3T3, cRBBB, inverted T waves in V1-V4, ST elevation in aVR, and atrial fibrillation) which predict hemodynamic collapse and death within 30 days after acute PE22.
In this study, severe arrhythmia includes complete atrioventricular block (CAVB), complete left bundle branch block (CLBBB), ventricular tachycardia (VT), and complete right bundle branch block (CRBBB), which is accompanied with left anterior bundle branch block (LABBB).
Only one patient developed transient complete atrioventricular conduction block whereas 14 patients were classified as severe arrhythmia including transient CAVB in one, CLBBB in 11, CRBBB accompanied with LABBB in one, and VT in one patient.