Left anterior fascicular block: Difference between revisions
No edit summary |
No edit summary |
||
| Line 7: | Line 7: | ||
*qR in I and aVL | *qR in I and aVL | ||
*Increased QRS voltage in the limb leads | *Increased QRS voltage in the limb leads | ||
===LAFB vs LPFB<ref>Mattu A and Brady WJ. ECG's for the Emergency Physician. BMJ Books. Sep 19, 2003.</ref>=== | |||
{| {{table}} | |||
| align="center" style="background:#f0f0f0;"|''''' | |||
| align="center" style="background:#f0f0f0;"|'''LAFB''' | |||
| align="center" style="background:#f0f0f0;"|'''LPFB''' | |||
|- | |||
| Axis||Left axis deviation||Right axis deviation | |||
|- | |||
| I and aVL||Upright QRS||Downgoing QRS | |||
|- | |||
| III||Downgoing QRS||Upright QRS | |||
|- | |||
|} | |||
==Significance== | ==Significance== | ||
Revision as of 10:01, 19 September 2016
Criteria
Diagnostic criteria include[1]:
- Left axis deviation (-45 or more)
- QRS 80-110ms
- rS in II, III, and AVF
- qR in I and aVL
- Increased QRS voltage in the limb leads
LAFB vs LPFB[2]
| LAFB | LPFB | |
| Axis | Left axis deviation | Right axis deviation |
| I and aVL | Upright QRS | Downgoing QRS |
| III | Downgoing QRS | Upright QRS |
Significance
- Considered benign finding
- LAFB may increase risk of AF, CHF, and death[3]
See Also
External Links
References
- ↑ Surawicz B, Knilans T. Chou’s Electrocardiography in Clinical Practice (6th edition), Saunders 2008.
- ↑ Mattu A and Brady WJ. ECG's for the Emergency Physician. BMJ Books. Sep 19, 2003.
- ↑ Mandyam MC, et al. Long-term outcomes of left anterior fascicular block in the absence of overt cardiovascular disease. JAMA. 2013; 309(15):1587-1588.