The ECG Blog

Sinusbradycardia with LAFB

October 14, 2008

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Patient: Woman, 90 y/o. Presents in ER with abdominal pain. Diabetes Mellitus type II. Initial BT 80/30. Pulse 35 bpm. No pain, but very fatigued. Glasgow Coma Scale 15.

ECG description:

• Sinusbradycardia, 35 bpm.
• Constant PR interval at 110ms
• Left axis deviation. The cardial axis is ca. -40 degrees.
• Left Anterior Fascicular Block
• Q-wave in V1-V2.
• Poor R-wave Progression in precordial leads.
• ST-elevation >2mm in V1-V2.
• Baseline electrical noise

ECG interpretation: Sinusbradycardia with LAFB

Filed under: LAFB (Left Anterior Fasicle Block) or Hemiblock, P-wave changes, ST-elevation, Sinusbradycardia, T-inversion

Tags: Axis deviation, Bradycardia, ecg, LAFB, left anterior fascicular block, left anterior hemiblock, noise artifact, noise artifacts, pathological ecg, q-wave, r-wave progression, Sinusbradycardia, sinusrhythm, ST-elevation