• Complete LBBB
    • QRS duration ≥120 ms
    • Broad notched or slurred R wave in lateral leads (I, aVL, V5, and V6) and an occasional RS pattern in V5 and V6 attributed to displaced transition of QRS complex
    • Absent Q waves in leads I, V5, and V6, but in the lead aVL, a narrow Q wave may be present in the absence of myocardial pathology
    • R peak time >60 ms in leads V5 and V6 but normal in leads V1, V2, and V3, when small initial R waves can be discerned in the precordial leads
    • ST and T waves usually opposite in direction to QRS
  • Incomplete LBBB
    • QRS duration between 110-119 ms
    • LVH pattern
    • R peak time >60 ms in leads V4, V5, and V6
    • Absence of Q wave in leads I, V5, and V6