Left anterior fascicular block: Difference between revisions

 
Line 31: Line 31:
==External Links==
==External Links==
*[http://ddxof.com/ecg-guide/ DDxOf: ECG Guide]
*[http://ddxof.com/ecg-guide/ DDxOf: ECG Guide]
*[https://canadiem.org/fascicular-blocks/ CanadiEM - The Boring Guide to ECG's: Fascicular blocks]


==References==
==References==

Latest revision as of 01:29, 2 July 2021

His-Purkinje system and hemiblocks

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 afib, CHF, and death[3]

See Also

External Links

References

  1. Surawicz B, Knilans T. Chou’s Electrocardiography in Clinical Practice (6th edition), Saunders 2008.
  2. Mattu A and Brady WJ. ECG's for the Emergency Physician. BMJ Books. Sep 19, 2003.
  3. 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.