What Do I Do When An ECG Report Shows Sinus Rhythm, Left Axis Deviation With Right Bundle Branch Block And Left Anterior Fascicular Block?

Posted on Fri, 27 Jul 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 27 Jul 2018 Answered on

Wed, 2 Mar 2022 Last reviewed on

Question : Dear Sir,
Please Assist in ECG
k/c/o DM and HTN

Answered by Dr. Sagar Makode (43 minutes later)

Brief Answer:
It's RBBB

Detailed Answer:

Hello,

Its sinus rhythm, left axis deviation with right bundle branch block with left anterior fascicular block (RBBB PLUS LAFB).
Again these can be age related or hypertension induced changes. But, possibility of coronary has to be ruled out in this patient. So he needs echocardiography followed by stress test like stress thallium or TMT.

Regards

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Above answer was peer-reviewed by : Dr. Nagamani Ng