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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Incomplete Bundle Branch Block And Anterior Fascicular Block Mean?

I have the following numbers on my EKG: HR 58, P: 94, PR: 160, QRS: 112, QT:146, QTc: 405 ms. It also says probable incomplete right bundle branch block and left anterior fascicular block. What does it mean? My doc spoke so fast it didn t stick with me.
Thu, 19 Feb 2015
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General & Family Physician 's  Response
Thank you for posting your query. I can understand your concern.
An abnormal EKG requires further evidence. It is tool for diagnosis with other tests, clinical evidence and symptoms .

1. HR - Normal
2. P - Normal
3. PR interval - normal
4. QTc- Normal
5. QRS - prolonged due to the right bundle branch bolck


In RBBB, the interventricular septum (wall separating left and right chambers) is activated normally, and the electrical impulses travel rapidly down the left bundle branch to activate the right ventricle. But because the right bundle branch is blocked, the impulse then must cross the interventricular septum to activate the right ventricle after a short delay.
Can cause skipped beats, etc. Not an uncommon event and considered harmless, but can be serious depending on circumstances.

A blocked right bundle branch is the most common defect in ventricular conduction. The cause of the conduction defect can include heart attack (MI) or ischemia (lack of blood flow) , heart failure, pulmonary embolism, or valvular disease. Worst case scenarios.

Partial block is called a fascicular block.


Do not worry much.


Hope this helps. You can ask any other query you have.
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What Does Incomplete Bundle Branch Block And Anterior Fascicular Block Mean?

Thank you for posting your query. I can understand your concern. An abnormal EKG requires further evidence. It is tool for diagnosis with other tests, clinical evidence and symptoms . 1. HR - Normal 2. P - Normal 3. PR interval - normal 4. QTc- Normal 5. QRS - prolonged due to the right bundle branch bolck In RBBB, the interventricular septum (wall separating left and right chambers) is activated normally, and the electrical impulses travel rapidly down the left bundle branch to activate the right ventricle. But because the right bundle branch is blocked, the impulse then must cross the interventricular septum to activate the right ventricle after a short delay. Can cause skipped beats, etc. Not an uncommon event and considered harmless, but can be serious depending on circumstances. A blocked right bundle branch is the most common defect in ventricular conduction. The cause of the conduction defect can include heart attack (MI) or ischemia (lack of blood flow) , heart failure, pulmonary embolism, or valvular disease. Worst case scenarios. Partial block is called a fascicular block. Do not worry much. Hope this helps. You can ask any other query you have.