Ablation with RBBB

Repeated EP studies in the lab a decade ago did not locate the point of origin and routinely evoked VFIB.  Techniquess have improved over the years, so I ask:  Is ablation a viable (recommended) remedy for an arrhythmia patient who also has a RBBB?  Does the RBBB make it more difficult to map the precise location of the initiating spot?

[Cleveland Clinic]

happy feet,

Certainly electrophysiology has progressed exponetially in both understanding of arrythmias and the technology and tools used for arrythmia treatments in the last 10 years. I would need to know more of what arrythmias you were treating, but a RBBB shouldn't have significant impact on the mapping of the arthmia. Our electrophysilogy section at Cleveland Clinic is outstanding and would be glad to evaluate you.

good luck