Left posterior fascicular block

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Script error: No such module "Unsubst". Template:Infobox medical condition (new) A left posterior fascicular block (LPFB), also known as left posterior hemiblock (LPH), is a condition where the left posterior fascicle, which travels to the inferior and posterior portion of the left ventricle,[1] does not conduct the electrical impulses from the atrioventricular node. The wave-front instead moves more quickly through the left anterior fascicle and right bundle branch, leading to a right axis deviation seen on the ECG.[2]

Definition

The American Heart Association has defined a LPFB as:[3]

  • Frontal plane axis between 90° and 180° in adults
  • rS pattern in leads I and aVL
  • qR pattern in leads III and aVF
  • QRS duration less than 120 ms

The broad nature of the posterior bundle as well as its dual blood supply[4] makes isolated LPFB rare.[5]

See also

References

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Further reading

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External links

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