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Dec 05, · Right Bundle Branch Block (RBBB) – the basics Right Bundle Branch Block (RBBB) with 1st degree AV block on a full ECG In many people, this does not cause abnormalities of the ECG It often indicates right sided heart disease In the normal heart, the depolarisation of the septum occurs from right to leftJun 07, 16 · Wiring of heart Sinus rhythm means that the electrical activity that controls the contraction of the heart, starts in the sinus node Right bundle branch block means that the right bundle (part of the electrical wiring) does not conduct the impulse which changes the appearance of the ekg Right bundle branch block as opposed to left bundle branch block is usually benignJan 31, 10 · Sinus bradycardia with first degree AV block Sinus bradycardia is evident from the long RR interval of 1280 ms, corresponding to a heart rate of 47 per minute PR interval is also prolonged at about 3 msec The combination can occur in vagotonic states or in those on beta blockers or other d