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The term intraventricular conduction delay or intraventricular conduction disturbances (IVCDs) refers to disturbances in the intraventricular propagation of supraventricular impulses resulting in changes in the QRS complex either in morphology or duration, or both.
of His, which conducts the signal through the interventricular septum towards the apex of the heart. Soon after entering the interventricular septum the AV bundle bifurcates into two separate branches. The conduction of the electrical signal through the interventricular septum, coupled with the slow conduction velocity of the AV node, causes a delay from when action potentials form in atrial myocardium and when they form in the ventricular myocardium (and subsequently in when the two sets of chambers contract) called the atrioventricular delay. This delay ensures that atrial systole is complete at the onset of ventricular systole. Once the signal reaches the apex of the heart it is conducted up the lateral walls of the ventricle through branched tracts of pacemaker cells called Purkinje fibers, which distribute the electrical signal to the ventricular myocardium. Electrical changes occurring during the cardiac cycle can be monitored from the surface of the body in a recording called an electrocardiogram (ECG, or EKG). A normal