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Review Article Compiled Date: January 30, 2023Left Septal Fascicular Block: Evidence, Causes, ECG/VCG Criteria, Differential Diagnosis and Proposal for New Concepts Andrs Ricardo PrezRiera1,2*, Raimundo
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01
Identify the ECG showing characteristic findings of left posterior fascicular block, including a widened QRS complex with right axis deviation.
02
Confirm the diagnosis with additional tests such as an echocardiogram or cardiac MRI if necessary.
03
Rule out other potential causes of similar ECG findings such as myocardial infarction or electrolyte imbalances.
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Discuss treatment options with a cardiologist if necessary, which may include medications or cardiac procedures.
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Monitor the patient regularly for any changes in symptoms or ECG findings.

Who needs left posterior fascicular block?

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Patients who have been diagnosed with left posterior fascicular block based on ECG findings and confirmatory tests.
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Patients who are experiencing symptoms such as heart palpitations, dizziness, or syncope that may be related to the block.
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Patients with other underlying cardiac conditions that may increase their risk of developing left posterior fascicular block.
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Left posterior fascicular block is a condition where there is a block in the electrical conduction system of the heart that affects the left posterior fasciculus, leading to abnormal heart rhythm.
Medical professionals diagnosing a left posterior fascicular block may be required to document and report it as part of a patient's medical records.
Filling out documentation for a left posterior fascicular block typically involves recording the patient's symptoms, electrical activity findings from an ECG, and the physician's interpretation.
The purpose of identifying a left posterior fascicular block is to assess the conduction path in the heart to guide treatment decisions for potential underlying conditions.
Information that must be reported includes the patient's medical history, ECG findings, symptoms, and any treatments or interventions prescribed.
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