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ECG: RBBB with LAFB

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Stanley Medical College, Department of Medicine

The ECG shows right bundle branch block (RBBB) and left anterior fascicular block (LAFB) in a 60-year-old hypertensive man. RBBB is characterized by a wide QRS complex with a terminal R wave in lead V1 and slurred S wave in lead V6. LAFB presents with left axis deviation and rS waves in lead III. The combination of RBBB and LAFB on an ECG suggests ischemia, as LAFB is commonly seen in acute anterior wall myocardial infarctions supplied by the left anterior descending artery.

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THE ELECTROCARDIOGRAM Professor A. gowri shankar `s unit Presented by Dr. Ramesh unit -2
History ,[object Object],[object Object],[object Object],[object Object]
CASE PRESENTATION
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ECG interpretation Name – Mr. Ranganathan, 60/m. Date - 19/6/11
The Electrical System of the Heart AV Node Posterior Inferior Fascicle Anterior Superior Fascicle Septal Depolarization Fibers Purkinjie Fibers Inter- nodal Tracts Bundle of HIS Left Bundle Branch Right Bundle Branch SA Node
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],CRITERIA FOR RBBB CRITERIA FOR LAFB ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Causes of RBBB Causes of LAFB ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Combination of RBBB & LAFH on ECG ,[object Object],[object Object],[object Object]
DISCUSSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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ECG: RBBB with LAFB

  • 1. THE ELECTROCARDIOGRAM Professor A. gowri shankar `s unit Presented by Dr. Ramesh unit -2
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  • 5. The Electrical System of the Heart AV Node Posterior Inferior Fascicle Anterior Superior Fascicle Septal Depolarization Fibers Purkinjie Fibers Inter- nodal Tracts Bundle of HIS Left Bundle Branch Right Bundle Branch SA Node
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