Evidence map›Paper›PMID 40864403›Full record

ReviewCardiology and therapy2025

Incomplete Right Bundle Branch Block: A Narrative Review of Clinical Relevance, Diagnostic Pitfalls, and Prognostic Implications.

Jozef Dodulík, Jiří Plášek, Jiří Vrtal, Jan Václavík

Abstract readReview
In one paragraph

Review in Cardiology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jozef DodulíkDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, 17. listopadu 1790/5, 70800, Ostrava, Czech Republic. jozef.dodulik@fno.cz.ORCID http://orcid.org/0009-0007-3537-0342
Jiří PlášekDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, 17. listopadu 1790/5, 70800, Ostrava, Czech Republic.
Jiří VrtalDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, 17. listopadu 1790/5, 70800, Ostrava, Czech Republic.
Jan VáclavíkDepartment of Internal Medicine and Cardiology, University Hospital Ostrava, 17. listopadu 1790/5, 70800, Ostrava, Czech Republic.

Funding

Ministerstvo Zdravotnictví Ceské Republiky MH CZ - DRO (FNOs/2025)
6 · The paper itself

Abstract

introductionIncomplete right bundle branch block (iRBBB) is a frequent electrocardiographic (ECG) finding, often considered benign. However, recent evidence suggests it may be associated with underlying structural or electrical abnormalities, particularly in selected populations.

methodsWe conducted a narrative review of population-based cohorts, mechanistic studies, and clinical trials focused on the prevalence, pathophysiological mechanisms, differential diagnosis, and prognostic implications of iRBBB.

resultsiRBBB is common in athletes and individuals with pulmonary or structural heart diseases. Although frequently asymptomatic, it may reflect right ventricular strain, pulmonary hypertension, or a predisposition to arrhythmias such as atrial fibrillation. Specific ECG features, comorbidities, and clinical context help to differentiate benign from pathologic iRBBB.

conclusionsiRBBB should not be routinely regarded as a harmless variant. In high-risk individuals, it may carry clinical and prognostic significance, warranting further evaluation. Standardized criteria and additional prospective studies are needed to better understand its implications. Infographic available for this article. INFOGRAPHIC.

Indexed as

ArrhythmiasElectrocardiogram (ECG)Incomplete right bundle branch block (iRBBB)Right ventricular dysfunctionRisk stratification

Identifiers

PMID40864403
PMCPMC12680827

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.