Left anterior fascicular block: Difference between revisions

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==Significance==
==Significance==
*Considered benign finding
*Considered benign finding
*LAFB may increase risk of AF, CHF, and death<ref>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.</ref>
*LAFB may increase risk of [[afib]], [[CHF]], and death<ref>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.</ref>


==See Also==
==See Also==

Revision as of 15:28, 25 September 2019

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.