Hi Can anyone help me with this query . I had an ECG done yesterday and it says : Normal sinus rhythm Left anterior fascicular block / left anterior hemiblock Abnormal ECG Is this serious ? What is the prognosis ?
"Left anterior fascicular block / left anterior hemiblock"
"Is this serious? What is the prognosis?"
Causes, significance and treatment
The left bundle branch itself divides into two major branches - the anterior and the posterior fascicles. Sometimes block can occur in just one of these fascicles. Such blockage is referred to as a hemiblock, or a fascicular block. (Note that the right bundle branch does not divide into discrete fascicles.)
When blockage is in the anterior fascicle, left anterior hemiblock (or left anterior fascicular block) is said to be present; whereas if the blockage occurs in the posterior fascicle, then left posterior hemiblock (or left posterior fascicular block) is said to be present.
In general, finding a hemiblock should trigger a search for underlying heart disease. Often none is found, in which case the hemiblock can be ignored.
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