TY - CHAP M1 - Book, Section TI - Aberrant Conduction A1 - Zimmerman, Franklin H. PY - 2023 T2 - ECG Core Curriculum AB - A supraventricular impulse results in a narrow QRS complex by virtue of rapid synchronous conduction through the His-Purkinje system, finally reaching the ventricular myocardium. As we have learned previously, a fixed conduction delay or interruption in the bundle branches or their divisions produces abnormalities of QRS complex morphology that we know as bundle branch block or fascicular block. The ECG findings include alterations in QRS complex duration, amplitude, configuration, and axis. The term aberration (or aberrant ventricular conduction) is used to describe transient bundle branch block and fascicular block that are unrelated to preexisting bundle branch block, preexcitation, or the effects of drug or electrolyte abnormalities. This temporary alteration of conduction, also called phasic aberrant ventricular conduction, is due to differential refractoriness of the bundle branches combined with variances in cycle length, concepts that we will now review. SN - PB - McGraw Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesscardiology.mhmedical.com/content.aspx?aid=1200100844 ER -