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Have High Pulse Rate. EKG Showed Left Anterior Fascicular Block. Am I At Any Risk?

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Posted on Mon, 25 Feb 2013
Question: I have a pulse rate of 98, showing an abnormal EKG, the report showing an LEFT ANTERIOR FASCICULAR BLOCK, am i in a danger zone ? thanks for your advise
doctor
Answered by Dr. Anantharamakrishnan (30 minutes later)
Hi friend,
Welcome to Health Care Magic


Our pulse rate is a bit fast (>100 is called tachycardia)

Left Anterior Fascicular Block is an ECG diagnosis.
It may mean several things –
•     Left ventricular disease – Hypertension (Blood pressure) / Valve lesion causing pressure or volume overload / Cardiomyopathy (Heart muscle Disease)...
•     Conduction System Disease – involving the front branch of the left bundle
•     Coronary Artery Disease (Heart attack)

YOU SHOULD GO TO THE EMERGENCY (ER) IMMEDIATELY.
You need physical examination / Lab tests (Cardiac markers) / ECHOcardiogram – for favour of further assessment and assistance.

In suspected heart attack, TIME IS OF THE ESSENCE – if detected early, an attack may even be aborted / the amount of damage and complications can be reduced remarkably. The most important time is the first few hours. Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise

Take care
Wishing speedy recovery
God bless
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anantharamakrishnan (9 minutes later)
Well, i was at the lab this afternoon and did xrays of the chest, lungs (they were normal as per the report), the doctor advised me to see a cardialogist tommorow, and said if i get a chest pain then go to the ER. But i was at the gym this morning never had any signs of chest pain, infact i had continuous burping and the doctor prescribed me heartburn medication (gas relief and pantoprazole). Now the burping has stopped and i am breathing normal with no hiccups. do i still need to go to the ER ?
thanks
doctor
Answered by Dr. Anantharamakrishnan (14 minutes later)
Hi

Yes, you should.

Pain may be absent - especially in diabetic.
Your effort tolerance is good....
But resting heart rate is high and needs a look.

Gastric symptoms could be co-incidental or misleading
An inferior wall infarction can present with this type of block or gastric symptoms.

Better exclude the problem rather than take risk

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Have High Pulse Rate. EKG Showed Left Anterior Fascicular Block. Am I At Any Risk?

Hi friend,
Welcome to Health Care Magic


Our pulse rate is a bit fast (>100 is called tachycardia)

Left Anterior Fascicular Block is an ECG diagnosis.
It may mean several things –
•     Left ventricular disease – Hypertension (Blood pressure) / Valve lesion causing pressure or volume overload / Cardiomyopathy (Heart muscle Disease)...
•     Conduction System Disease – involving the front branch of the left bundle
•     Coronary Artery Disease (Heart attack)

YOU SHOULD GO TO THE EMERGENCY (ER) IMMEDIATELY.
You need physical examination / Lab tests (Cardiac markers) / ECHOcardiogram – for favour of further assessment and assistance.

In suspected heart attack, TIME IS OF THE ESSENCE – if detected early, an attack may even be aborted / the amount of damage and complications can be reduced remarkably. The most important time is the first few hours. Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise

Take care
Wishing speedy recovery
God bless
Good luck