A 70 yo male presents to the emergency department following a collapse at home. There is no prodrome and he does not remember the incident.
His ECG is shown below. What is the diagnosis?
His ECG is shown below. What is the diagnosis?
There is also a prolonged QTc of about 500.
There is also a:
- First degree block
- RBBB
- LAFB
I would call this a Trifascicular Block.
Cardiology argued that it was not. Read on to see why they were wrong.
What are the 3 Fascicles?
As the HIS Purkinje system enters the ventricular part of the heart it is composed of the:
- Right Bundle: which forms one fascicle
- Left Bundle, which is split into:
- Anterior and
- Posterior fascicles
…Thus 3 fascicles.
If you want to find out about UNI/BI/TRIFASCICULAR Blocks as well as Complete and Incomplete Trifascicular Blocks become a Cardiac Bootcamp Course Member and become the expert.
Cardiac Bootcamp Course Members, go to the Fascicular Blocks page for more.
