Left Anterior Fascicular Block Archives - Page 4 of 4

Case 31: A 46-Year-Old Woman with Cyanosis and Clubbing

Case 31: A 46-Year-Old Woman with Cyanosis and Clubbing History Diagnosis History A 46-year-old woman known to have cyanotic congenital heart disease, is severely disabled: Diagnosis Sinus Rhythm First degree AV block Right atrial enlargement Incomplete right bundle branch block (iRBBB) Left anterior fascicular block Possible right ventricular hypertrophy Voltage criteria for left ventricular hypertrophy …

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Case 32: A 73-Year-Old Man Referred to the EP Clinic

Practice Level 5

Case 32: A 73-Year-Old Man Referred to the EP Clinic History Diagnosis History This 73-year-old man is referred to the EP Clinic because of occasional episodes of tachyarrhythmia: Diagnosis Sinus tachycardia Frequent premature atrial complexes (PACs) Short runs of atrial tachycardia with aberrant conduction Left anterior fascicular block ECG ID: E531

Case 82: An 80-Year-Old Man in the EP Clinic

Practice Level 5

Case 82: An 80 Year-Old Man in the EP Clinic History Diagnosis History This 80-year-old man was in very good health until 8 years ago, when he had episodes of near-syncope and documented ventricular tachycardia, that did not require cardioversion. He was hospitalized and no evidence of structural heart disease was found. He was placed …

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Case 86: A 48-Year-Old Patient who had Surgery for Tetralogy of Fallot

Practice Level 5

Case 86: A 48-Year-Old Patient who had Surgery for Tetralogy of Fallot History Diagnosis History The following ECG is from a 48-year-old man who had corrective surgery for Tetralogy of Fallot at the age of 8: Diagnosis Sinus rhythm Right bundle branch block Left anterior fascicular block Bifascicular block (RBBB and LAFB) Comment: In patients who …

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Case 99: A 78-Year-Old Man with a Subdural Hematoma

Practice Level 5

Case 99: A 78-Year-Old Man with a Subdural Hematoma History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old man had an episode of loss of consciousness at home during which he suffered from a subdural hematoma. This ECG is recorded in the Emergency Department: Diagnosis Sinus rhythm, 75/min, with Mobitz II second degree AV block …

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Case 108: A 66-Year-Old Man Admitted to the Cardiac Ward

Practice Level 5

Case 108: A 66-Year-Old Man Admitted to the Cardiac Ward History Diagnosis History A 66-year-old man is admitted for investigation of angina. 5 weeks earlier he had been in another hospital with an acute myocardial infarction. After discharge he complains of frequent angina on mild to moderate exercise: Diagnosis Junctional tachycardia, 110/min Left anterior fascicular …

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Case 110: A 59-Year-Old Man in the Emergency Department

Practice Level 5

Case 110: A 59-Year-Old Man in the Emergency Department History Diagnosis History This 59 year old man has been referred to the emergency department by his family physician because of episodes of faintness and weakness during the past several weeks and the abnormal ECG Diagnosis Sinus rhythm with 1st degree AV block Frequent junctional premature …

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Case 122: A 77 Year-Old Woman in the Emergency Room with Dizziness

Practice Level 5

Case 122: A 77 Year-Old Woman in the Emergency Room with Dizziness History Diagnosis History A 77 year-old woman is seen in the emergency room with several days of dizziness. Her ECG recorded in the emergency room is shown below: Diagnosis Ectopic Atrial Bradycardia, 37/min AV Dissociation with Junctional Escape, 43/min Conducted P-waves have 1st …

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