Peters S (2019) Complete Right Bundle Branch Block in Arrhythmogenic Cardiomyopathy:Similarities to Brugada Syndrome. Int J Clin Cardiol 6:137.


© 2019 Peters S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ORIGINAL ARTICLE | OPEN ACCESSDOI: 10.23937/2378-2951/1410137

Complete Right Bundle Branch Block in Arrhythmogenic Cardiomyopathy: Similarities to Brugada Syndrome

Stefan Peters*

Department of Cardiology, MVZ Harz - Asklepios Harzklinik Goslar, Germany



In arrhythmogenic cardiomyopathy complete right bundle branch block do appear. In rare cases complete right bundle branch block with Brugada-like presentation.


In 24 patients with typical arrhythmogenic cardiomyopathy ECG showed complete right bundle branch block. In 17 cases atypical RBBB with low voltage were present, in 7 cases typical rSR' RBBB occurred.


Brugada-like ECG could be excluded in 6 cases of typical complete rSR' right bundle branch block, only in one case Brugada ECG with coved-type ST segment elevation, sharp upstroke and symmetrical T-wave inversion was present.


In typical arrhythmogenic cardiomyopathy atypical low voltage and typical rSR' right bundle branch block appear. Only in one case with typical arrhythmogenic cardiomyopathy the ECG resembles classical Brugada ECG. In right bundle branch block both-arrhythmogenic cardiomyopathy and Brugada-like syndrome-could be presented as an overlap syndrome.