When electrical activity does not conduct through the His-Purkinje system, but instead travels from myocyte to myocyte, a longer time is necessary, and the QRS duration is widened. A widened QRS ...

If the QRS complex is widened and downwardly deflected in lead V1, a left bundle branch block is present. If the QRS complex is widened and upwardly deflected in lead V1, a right bundle branch ...

These ECG voltage attenuations are of extracardiac mechanism, and impact the amplitude of QRS complexes, P-waves, and T-waves, occasionally resulting also in shortening of the QRS complex and QT ...