2:1 AV BlockDual AV nodal pathwaysHeart blockSyncopeTrifascicular block7 Min Read Pendell MeyersonJune 27, 2024 A woman in her 50s with multiple episodes of syncope By Sofiya Diurba MD, reviewed by Meyers, Grauer A woman in her 50s with PMH known RBBB and prior syncopal events presents to the ED for five…
RBBB and LAFB chronicTrifascicular blockwenckebach7 Min Read Steve SmithonApril 6, 2023 RBBB and LAFB. Is it trifascicular block? The complexities of Wenckebach, with Ken Grauer analysis. This patient presented with complications of his dialysis fistula. Medical history: History of Ischemic Heart Disease History of Congestive…
Bifascicular blockRBBB with LAFB (Left Anterior Fascicular Block)RIght Bundle Branch BlockSyncopeTrifascicular block3 Min Read Pendell MeyersonJanuary 28, 2022 A man in his 60s with syncope. In syncope, what are we looking for on the ECG, and why? Submitted and written by Rachel Plate M.D., with some edits by Smith and Meyers A man in his 60s with history of type 2 diabetes,…
First Degree AV blockHypertrophic CardiomyopathyRBBB with LAFB (Left Anterior Fascicular Block)Trifascicular block2 Min Read Steve SmithonApril 8, 2021 An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation? An 80-something called 911 for chest pain, generalized weakness, and cough. Here is his prehospital ECG: The medics were worried about this…
Trifascicular block6 Min Read Steve SmithonJuly 30, 2016 Symptomatic Bradycardia. So-called Trifascicular Block. Occum’s Razor and Hickum’s dictum. A middle-aged male with PMH significant for atrial fibrillation, cocaine use, DM, HTN, hyperlipidemia, and previous MI that was related to…