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1. Infra-Hisian Conduction Disturbance and Alternating Left Anterior/Posterior Fascicular Block

Author

Anne-Sophie Lacharite-Roberge, MD, Gregory M. Petersen, MD, Kavisha Patel, MD, Jonathan C. Hsu, MD, MAS, Frederick T. Han, MD, Gregory K. Feld, MD, Melvin Scheinman, MD, and Kurt S. Hoffmayer, MD

Subjects
cardiac pacemaker, electrocardiogram, electrophysiology, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

We present an unusual case of alternating left anterior and left posterior fascicular block. Given the known risk for progression to complete atrioventricular block with alternating right bundle and left bundle branch block, we performed an electrophysiological study. Findings were consistent with infra-Hisian disease, and the patient underwent pacemaker implantation.

Published
2024
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