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Fascicular block (hemiblock): Left anterior & left posterior fascicular block

…depend on impulses spreading from other parts of the ventricle (where the fascicle is intact). Figure 1. Left anterior fascicular block (anterior hemiblock) and left…

Left Main Coronary Artery Disease: Revascularisation Strategy

…narrowing of the left main coronary artery, which supplies the left anterior descending and left circumflex coronary territories. Because these vessels perfuse a large proportion…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…acute coronary syndromes. The LMCA supplies a large myocardial territory through the left anterior descending (LAD) and left circumflex (LCx) arteries (Figure 1). Acute obstruction…

Transcutaneous and transvenous pacing

…preferably anteroposteriorly : one anteriorly over the praecordium to the left of the sternum, the other on the back between the left scapula and the spine…

Coronary Anomalies and Myocardial Bridging

…The intramyocardial segment is termed the tunnelled artery. The left anterior descending artery (LAD) is most commonly involved. The reported prevalence depends substantially on the…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…environmental factors and genetic background. Thrombotic susceptibility is likewise affected by inflammation and other systemic influences. The severity of myocardial injury is determined not only…

The Cabrera format of the 12-lead ECG and inverted lead aVR

…For example, if there is acute ischemia located in the anterior wall and there is ST segment elevation in lead V3, then there should also…

Bone marrow aspiration and biopsy

…Previous pelvic irradiation on the intended side (yields fibrotic, unrepresentative marrow — choose the other side). A patient who cannot lie still — plan for sedation rather…

ECG parameters

…must not be included. Electrical axis Electrical axis Interpretation : : −30° to +90° Normal −30° to −90° Left axis deviation — left anterior fascicular block, inferior infarction…

Differential Diagnosis of Chest Pain: A Clinical Overview

…2], [5]. Localization: While often retrosternal, the pain may be localized to the left anterior chest and can radiate to the neck, shoulders, and arms…

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