{"id":10818,"date":"2026-06-28T06:36:26","date_gmt":"2026-06-28T06:36:26","guid":{"rendered":"https:\/\/cardiocases.com\/?post_type=ecg_case&p=10818"},"modified":"2026-07-02T11:39:05","modified_gmt":"2026-07-02T11:39:05","slug":"trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy","status":"publish","type":"ecg_case","link":"https:\/\/cardiocases.com\/fr\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/","title":{"rendered":"Trace 3.6: Right bundle branch block and right ventricular hypertrophy"},"content":{"rendered":"","protected":false},"featured_media":9628,"template":"","ecg_case_type":[252],"language_ecgcase":[258],"class_list":["post-10818","ecg_case","type-ecg_case","status-publish","has-post-thumbnail","hentry","ecg_case_type-bundle-branch-block","language_ecgcase-english"],"acf":{"ecg_case_title":"Trace 3.6: Right bundle branch block and right ventricular hypertrophy","patient_description":"64-year-old man with a chronic cor pulmonale (history of pulmonary embolism)","quiz_question":"Which diagnosis(es) is(are) true for this ECG?","quiz_answer_1":"sinus rhythm","quiz_answer_2":"right ventricular hypertrophy","quiz_answer_3":"right bundle branch block","quiz_answer_4":"left bundle branch block","quiz_answer_5":"non-specific bundle branch block","correct_answer":["A","B","C"],"ecg_image":9628,"ecg_description":"Atrial sinus activity, normal PR interval (190 ms), complete right bundle branch block pattern (QRS duration 180 ms, rsR\u2019 pattern in V1) with right ventricular hypertrophy (high amplitude R\u2019 wave in V1, very deep and wide S wave in leads I, V5, V6, markedly delayed intrinsicoid deflection in V1, repolarization disorders from V1 to V3);","ecg_info_box":"A major right axis deviation in a patient with a right bundle branch block can reflect the presence of right ventricular hypertrophy or an associated left posterior fascicular block. The presence of a high-amplitude R\u2019 wave is particularly suggestive of a right ventricular hypertrophy.","commentary_ecg":"The electrical diagnosis of right ventricular hypertrophy is difficult in the presence of a right bundle branch block and is expressed only if the hypertrophy is anatomically significant.\r\n\r\nIn the presence of a complete right bundle branch block, the following signs are typical for hypertrophy:\r\n\r\n\u2022 A high amplitude R\u2019 wave exceeding 15 mm in V1\r\n\u2022 A very wide S wave in lead I\r\n\u2022 A significant delay in intrinsicoid deflection in the right precordial leads\r\n\r\nThese various parameters are observed in this patient, with right ventricular hypertrophy frequently occurring in patients with chronic cor pulmonale.\r\n","ecg_info_post_answer":"\"\"\r\n\r\n"},"yoast_head":"\nTrace 3.6: Right bundle branch block and right ventricular hypertrophy - Cardiocases<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cardiocases.com\/fr\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Trace 3.6: Right bundle branch block and right ventricular hypertrophy - Cardiocases\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cardiocases.com\/fr\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiocases\" \/>\n<meta property=\"article:modified_time\" content=\"2026-07-02T11:39:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/03\/trace-3-6-ecg-scaled-e1782933246371-1024x618.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"618\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/cardiocases.com\\\/ecg_case\\\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\\\/\",\"url\":\"https:\\\/\\\/cardiocases.com\\\/ecg_case\\\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\\\/\",\"name\":\"Trace 3.6: Right bundle branch block and right ventricular hypertrophy - Cardiocases\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/cardiocases.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/cardiocases.com\\\/ecg_case\\\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/cardiocases.com\\\/ecg_case\\\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/cardiocases.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/trace-3-6-ecg-scaled-e1782933246371.png\",\"datePublished\":\"2026-06-28T06:36:26+00:00\",\"dateModified\":\"2026-07-02T11:39:05+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/cardiocases.com\\\/ecg_case\\\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/cardiocases.com\\\/ecg_case\\\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/cardiocases.com\\\/ecg_case\\\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\\\/#primaryimage\",\"url\":\"https:\\\/\\\/cardiocases.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/trace-3-6-ecg-scaled-e1782933246371.png\",\"contentUrl\":\"https:\\\/\\\/cardiocases.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/trace-3-6-ecg-scaled-e1782933246371.png\",\"width\":2560,\"height\":1545},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/cardiocases.com\\\/ecg_case\\\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/cardiocases.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Trace 3.6: Right bundle branch block and right ventricular hypertrophy\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/cardiocases.com\\\/#website\",\"url\":\"https:\\\/\\\/cardiocases.com\\\/\",\"name\":\"Cardiocases\",\"description\":\"Real cardiac device traces, pacemaker & ICD learning \u2014 built by electrophysiologists\",\"publisher\":{\"@id\":\"https:\\\/\\\/cardiocases.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/cardiocases.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/cardiocases.com\\\/#organization\",\"name\":\"Cardiocases\",\"url\":\"https:\\\/\\\/cardiocases.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/cardiocases.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/cardiocases.com\\\/wp-content\\\/uploads\\\/2025\\\/07\\\/cardiocases_logo.png\",\"contentUrl\":\"https:\\\/\\\/cardiocases.com\\\/wp-content\\\/uploads\\\/2025\\\/07\\\/cardiocases_logo.png\",\"width\":1755,\"height\":499,\"caption\":\"Cardiocases\"},\"image\":{\"@id\":\"https:\\\/\\\/cardiocases.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.linkedin.com\\\/company\\\/cardiocases\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Trace 3.6: Right bundle branch block and right ventricular hypertrophy - Cardiocases","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cardiocases.com\/fr\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/","og_locale":"fr_FR","og_type":"article","og_title":"Trace 3.6: Right bundle branch block and right ventricular hypertrophy - Cardiocases","og_url":"https:\/\/cardiocases.com\/fr\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/","og_site_name":"Cardiocases","article_modified_time":"2026-07-02T11:39:05+00:00","og_image":[{"width":1024,"height":618,"url":"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/03\/trace-3-6-ecg-scaled-e1782933246371-1024x618.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/cardiocases.com\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/","url":"https:\/\/cardiocases.com\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/","name":"Trace 3.6: Right bundle branch block and right ventricular hypertrophy - Cardiocases","isPartOf":{"@id":"https:\/\/cardiocases.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/cardiocases.com\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/#primaryimage"},"image":{"@id":"https:\/\/cardiocases.com\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/#primaryimage"},"thumbnailUrl":"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/03\/trace-3-6-ecg-scaled-e1782933246371.png","datePublished":"2026-06-28T06:36:26+00:00","dateModified":"2026-07-02T11:39:05+00:00","breadcrumb":{"@id":"https:\/\/cardiocases.com\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cardiocases.com\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/cardiocases.com\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/#primaryimage","url":"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/03\/trace-3-6-ecg-scaled-e1782933246371.png","contentUrl":"https:\/\/cardiocases.com\/wp-content\/uploads\/2026\/03\/trace-3-6-ecg-scaled-e1782933246371.png","width":2560,"height":1545},{"@type":"BreadcrumbList","@id":"https:\/\/cardiocases.com\/ecg_case\/trace-3-6-right-bundle-branch-block-and-right-ventricular-hypertrophy\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/cardiocases.com\/"},{"@type":"ListItem","position":2,"name":"Trace 3.6: Right bundle branch block and right ventricular hypertrophy"}]},{"@type":"WebSite","@id":"https:\/\/cardiocases.com\/#website","url":"https:\/\/cardiocases.com\/","name":"Cardiocases","description":"Real cardiac device traces, pacemaker & ICD learning \u2014 built by electrophysiologists","publisher":{"@id":"https:\/\/cardiocases.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cardiocases.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/cardiocases.com\/#organization","name":"Cardiocases","url":"https:\/\/cardiocases.com\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/cardiocases.com\/#\/schema\/logo\/image\/","url":"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/07\/cardiocases_logo.png","contentUrl":"https:\/\/cardiocases.com\/wp-content\/uploads\/2025\/07\/cardiocases_logo.png","width":1755,"height":499,"caption":"Cardiocases"},"image":{"@id":"https:\/\/cardiocases.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.linkedin.com\/company\/cardiocases\/"]}]}},"_links":{"self":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/ecg_case\/10818","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/ecg_case"}],"about":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/types\/ecg_case"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/media\/9628"}],"wp:attachment":[{"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/media?parent=10818"}],"wp:term":[{"taxonomy":"ecg_case_type","embeddable":true,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/ecg_case_type?post=10818"},{"taxonomy":"language_ecgcase","embeddable":true,"href":"https:\/\/cardiocases.com\/fr\/wp-json\/wp\/v2\/language_ecgcase?post=10818"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}