Left posterior fascicular block: Difference between revisions

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[[File:hemiblocks.png|thumb|His-Purkinje system and hemiblocks]]
[[File:hemiblocks.png|thumb|His-Purkinje system and hemiblocks]]
#Usually means disease
 
#Right axis deviation (>110) w/QRS < 0.10s
==Criteria==
#Tall R in II, III, AVF
Diagnostic criteria include<ref>Surawicz B, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part III: intraventricular conduction disturbances. Journal of the American College of Cardiology. 2009; 53(11): 976–981.</ref>:
#Exclude other causes (COPD, RVH, Lat MI)
#Right axis deviation (>110)  
#QRS < 120ms
#qR in III and AVF
#rS in I and aVL
 
==Significance==
*Usually associated with disease
*Isolated LPFB associated with MI<ref>Godat FJ and Gertsch M. Isolated left posterior fascicular block: a reliable marker for inferior myocardial infarction and associated severe coronary artery disease. Clin Cardiol. 1993; 16(3):220-226.</ref>
#Exclude other causes of RAD (PE, COPD, RVH, Lat MI)


==See Also==
==See Also==
*[[ECG (Basics)]]
*[[ECG (Basics)]]


== Source ==
==References==
*Adapted from Niemann, Lampe, Pani, Donaldson, ECGpedia.org
<references/>
*Journal of Electrocardiology. Vol 43 (2010). 40-42.


[[Category:Cards]]
[[Category:Cards]]

Revision as of 13:41, 8 June 2015

His-Purkinje system and hemiblocks

Criteria

Diagnostic criteria include[1]:

  1. Right axis deviation (>110)
  2. QRS < 120ms
  3. qR in III and AVF
  4. rS in I and aVL

Significance

  • Usually associated with disease
  • Isolated LPFB associated with MI[2]
  1. Exclude other causes of RAD (PE, COPD, RVH, Lat MI)

See Also

References

  1. Surawicz B, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part III: intraventricular conduction disturbances. Journal of the American College of Cardiology. 2009; 53(11): 976–981.
  2. Godat FJ and Gertsch M. Isolated left posterior fascicular block: a reliable marker for inferior myocardial infarction and associated severe coronary artery disease. Clin Cardiol. 1993; 16(3):220-226.