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

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Posted on Wed, 2 Mar 2022
Question: Dear Sir,
Please Assist in ECG
k/c/o DM and HTN
doctor
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
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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

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