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Bundle branches

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When a bundle branch or their fascicles becomes injured (by underlying heart disease, myocardial infarction, or cardiac surgery), it may cease to conduct electrical impulses appropriately, resulting in altered pathways for ventricular depolarization. This condition is known as a
156:) in 1906. Although Tawara's monograph had demonstrated that the branches of the bundle of His may transmit cardiac action potentials to the ventricles, the functional proof for his observation was not provided until 1910, when 141:
The bundle branches were separately described by Retzer and Braeunig as early as 1904, but their physiological function remained unclear and their role in the electrical conduction system of the heart remained unknown until
120:. These structures lead to a network of thin filaments known as Purkinje fibers. They play an integral role in the electrical conduction system of the heart by transmitting cardiac action potentials to the Purkinje fibers. 161: 148: 863: 81: 185:
Kullmann T, Baráth Z, Csiszér E (January 2009). "Remission of left Tawara-branch block under treatment for systemic sarcoidosis".
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showed that cutting off both branches to induce a bilateral bundle branch block results in a complete
742: 1011: 85: 722: 635: 603: 591: 109: 960: 738: 710: 702: 464: 47: 883: 788: 756: 630: 549: 424:"The dissection of the atrioventricular node, bundle and bundle branches in the human heart" 985: 878: 814: 734: 706: 653: 554: 8: 936: 519: 130: 980: 948: 608: 581: 529: 360: 347: 323: 306: 990: 918: 868: 714: 613: 598: 586: 514: 509: 445: 410: 365: 328: 287: 246: 241: 224: 202: 77: 752: 648: 618: 435: 400: 389:"Anatomical configuration of the His bundle and bundle branches in the human heart" 355: 318: 277: 236: 194: 282: 265: 898: 873: 746: 730: 726: 524: 198: 89: 855: 796: 778: 692: 576: 307:"Why does the heart beat? The discovery of the electrical system of the heart" 1005: 888: 157: 73: 405: 804: 800: 792: 698: 449: 440: 332: 291: 250: 206: 143: 414: 369: 53: 928: 910: 845: 837: 784: 688: 678: 625: 165: 953: 768: 456: 264:
Kumar V, Venkataraman R, Aljaroudi W, et al. (January 2013).
36: 266:"Implications of left bundle branch block in patient treatment" 810: 488: 41:
The left bundle branch (4) and the right bundle branch (10)
263: 184: 304: 112:. The left bundle branch further divides into the 100:There are two branches of the bundle of His: the 1003: 225:"Modelling of the ventricular conduction system" 222: 305:Silverman ME, Grove D, Upshaw CB (June 2006). 472: 386: 229:Progress in Biophysics and Molecular Biology 154:The Conduction System of the Mammalian Heart 149:Das Reizleitungssystem des Säugetierherzens 479: 465: 218: 216: 35: 439: 421: 404: 359: 345: 322: 281: 240: 82:electrical conduction system of the heart 486: 123: 213: 14: 1004: 739:moderator band/septomarginal trabecula 108:, both of which are located along the 460: 348:"The history of bundle branch block" 80:. They play an integral role in the 387:Massing GK, James TN (April 1976). 187:International Journal of Cardiology 24: 380: 270:The American Journal of Cardiology 25: 1023: 422:Widran J, Lev M (December 1951). 324:10.1161/CIRCULATIONAHA.106.616771 223:Tusscher KH, Panfilov AV (2008). 242:10.1016/j.pbiomolbio.2007.07.026 339: 298: 257: 178: 88:from the bundle of His to the 13: 1: 283:10.1016/j.amjcard.2012.09.029 171: 199:10.1016/j.ijcard.2007.07.063 95: 7: 942:sternopericardial ligaments 719:valve of inferior vena cava 146:published his monograph on 10: 1028: 540:posterior interventricular 352:Medical History Supplement 136: 973: 954:epicardium/visceral layer 927: 909: 854: 836: 829: 767: 743:crista supraventricularis 677: 670: 644: 572: 565: 535:anterior interventricular 502: 495: 86:cardiac action potentials 46: 34: 29: 723:valve of coronary sinus 636:atrioventricular septum 604:interventricular septum 406:10.1161/01.CIR.53.4.609 118:left posterior fascicle 110:interventricular septum 72:, are offshoots of the 18:Left posterior fascicle 961:fold of left vena cava 711:limbus of fossa ovalis 441:10.1161/01.CIR.4.6.863 162:Carl Julius Rothberger 114:left anterior fascicle 48:Anatomical terminology 757:pulmonary circulation 124:Clinical significance 986:Coronary circulation 815:systemic circulation 654:intervenous tubercle 937:fibrous pericardium 131:bundle branch block 106:right bundle branch 981:Circulatory system 949:serous pericardium 911:Pericardial cavity 609:trabeculae carneae 582:interatrial septum 346:Hollman A (1985). 102:left bundle branch 999: 998: 991:Coronary arteries 969: 968: 919:pericardial sinus 879:Bachmann's bundle 869:cardiac pacemaker 864:Conduction system 825: 824: 715:crista terminalis 666: 665: 662: 661: 614:chordae tendineae 587:pectinate muscles 62: 61: 57: 16:(Redirected from 1019: 834: 833: 789:atrial appendage 753:pulmonary artery 703:atrial appendage 675: 674: 649:cardiac skeleton 619:papillary muscle 570: 569: 500: 499: 481: 474: 467: 458: 457: 453: 443: 418: 408: 374: 373: 363: 343: 337: 336: 326: 302: 296: 295: 285: 261: 255: 254: 244: 220: 211: 210: 182: 84:by transmitting 54:edit on Wikidata 51: 39: 27: 26: 21: 1027: 1026: 1022: 1021: 1020: 1018: 1017: 1016: 1012:Cardiac anatomy 1002: 1001: 1000: 995: 965: 923: 905: 899:Purkinje fibers 894:bundle branches 850: 821: 779:pulmonary veins 763: 747:pulmonary valve 731:right ventricle 727:tricuspid valve 658: 640: 592:terminal sulcus 561: 491: 487:Anatomy of the 485: 383: 381:Further reading 378: 377: 344: 340: 317:(23): 2775–81. 303: 299: 262: 258: 235:(1–3): 152–70. 221: 214: 183: 179: 174: 139: 126: 98: 90:Purkinje fibers 76:in the heart's 70:Tawara branches 66:bundle branches 58: 42: 30:Bundle branches 23: 22: 15: 12: 11: 5: 1025: 1015: 1014: 997: 996: 994: 993: 988: 983: 977: 975: 971: 970: 967: 966: 964: 963: 958: 957: 956: 946: 945: 944: 933: 931: 925: 924: 922: 921: 915: 913: 907: 906: 904: 903: 902: 901: 896: 891: 886: 881: 876: 871: 860: 858: 852: 851: 849: 848: 842: 840: 831: 827: 826: 823: 822: 820: 819: 797:left ventricle 773: 771: 765: 764: 762: 761: 693:coronary sinus 683: 681: 672: 668: 667: 664: 663: 660: 659: 657: 656: 651: 645: 642: 641: 639: 638: 633: 628: 623: 622: 621: 616: 611: 606: 596: 595: 594: 589: 584: 573: 567: 563: 562: 560: 559: 558: 557: 552: 544: 543: 542: 537: 532: 527: 517: 512: 506: 504: 497: 493: 492: 484: 483: 476: 469: 461: 455: 454: 419: 382: 379: 376: 375: 338: 297: 276:(2): 291–300. 256: 212: 176: 175: 173: 170: 138: 135: 125: 122: 97: 94: 60: 59: 50: 44: 43: 40: 32: 31: 9: 6: 4: 3: 2: 1024: 1013: 1010: 1009: 1007: 992: 989: 987: 984: 982: 979: 978: 976: 972: 962: 959: 955: 952: 951: 950: 947: 943: 940: 939: 938: 935: 934: 932: 930: 926: 920: 917: 916: 914: 912: 908: 900: 897: 895: 892: 890: 889:bundle of His 887: 885: 882: 880: 877: 875: 872: 870: 867: 866: 865: 862: 861: 859: 857: 853: 847: 844: 843: 841: 839: 835: 832: 828: 818: 816: 812: 806: 802: 798: 794: 790: 786: 782: 780: 775: 774: 772: 770: 766: 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846:heart valves 808: 805:aortic sinus 801:aortic valve 793:mitral valve 776: 750: 735:infundibulum 707:fossa ovalis 699:right atrium 686: 434:(6): 863–7. 431: 427: 396: 392: 351: 341: 314: 310: 300: 273: 269: 259: 232: 228: 193:(2): e83–4. 190: 186: 180: 153: 147: 144:Sunao Tawara 140: 127: 117: 113: 105: 101: 99: 69: 65: 63: 929:Pericardium 838:Endocardium 785:left atrium 689:venae cavae 679:Right heart 530:interatrial 428:Circulation 393:Circulation 311:Circulation 166:heart block 856:Myocardium 769:Left heart 599:ventricles 172:References 152:(English: 96:Structure 78:ventricle 1006:Category 671:Chambers 566:Internal 546:borders 525:coronary 450:14879494 333:16769927 292:23111137 251:17910889 207:17935802 116:and the 104:and the 884:AV node 874:SA node 503:Surface 496:General 415:1253382 370:3915526 361:2557404 137:History 830:Layers 745:), → 626:valves 448:  413:  368:  358:  331:  290:  249:  205:  811:aorta 791:) → 631:cusps 577:atria 550:right 520:sulci 489:heart 68:, or 52:[ 813:and 807:) → 755:and 725:) → 555:left 515:apex 510:base 446:PMID 411:PMID 366:PMID 329:PMID 288:PMID 247:PMID 203:PMID 160:and 64:The 436:doi 401:doi 356:PMC 319:doi 315:113 278:doi 274:111 237:doi 195:doi 191:131 1008:: 799:→ 795:→ 783:→ 749:→ 741:, 737:, 729:→ 721:, 717:, 713:, 709:, 705:, 697:→ 691:, 444:. 430:. 426:. 409:. 397:53 395:. 391:. 364:. 350:. 327:. 313:. 309:. 286:. 272:. 268:. 245:. 233:96 231:. 227:. 215:^ 201:. 189:. 168:. 133:. 92:. 817:) 809:( 803:( 787:( 781:) 777:( 759:) 751:( 733:( 701:( 695:) 687:( 480:e 473:t 466:v 452:. 438:: 432:4 417:. 403:: 372:. 335:. 321:: 294:. 280:: 253:. 239:: 209:. 197:: 56:] 20:)

Index

Left posterior fascicle

Anatomical terminology
edit on Wikidata
bundle of His
ventricle
electrical conduction system of the heart
cardiac action potentials
Purkinje fibers
interventricular septum
bundle branch block
Sunao Tawara
Das Reizleitungssystem des Säugetierherzens
Hans Eppinger
Carl Julius Rothberger
heart block
doi
10.1016/j.ijcard.2007.07.063
PMID
17935802


"Modelling of the ventricular conduction system"
doi
10.1016/j.pbiomolbio.2007.07.026
PMID
17910889
"Implications of left bundle branch block in patient treatment"
doi
10.1016/j.amjcard.2012.09.029

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