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Fascicular Block Patterns — Observations on Differential Diagnosis

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Cardiac Pacing

Abstract

Fascicular block patterns merit clinical interest because they are the most frequent precursors of acquired complete atrioventricular block [6, 16, 22, 24, 26, 28]. In the present paper we lay stress on differential diagnostic aspects. The behavior of the intrinsicoid deflection and the presence of mirror image effects may be helpful for diagnosis whereas interferences between fascicular blocks and infarction patterns may render a correct diagnosis more difficult. The anatomical variations of the intraventricular conduction system, as well as the age, the physical constitution, and the clinical diagnosis of a patient are always to be considered. The difficulties in recognition of the left anterior fascicular block are shown on the basis of 100 consecutive ECGs with left axis deviation.

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Authors
  1. M. Gertsch
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  2. D. Bernoulli
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Editor information

Editors and Affiliations

  1. Klinikum Großhadern, Germany

    Berndt Lüderitz (Oberarzt der Medizinischen Klinik I der Universität München) (Oberarzt der Medizinischen Klinik I der Universität München)

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© 1976 Springer-Verlag Berlin · Heidelberg

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Gertsch, M., Bernoulli, D. (1976). Fascicular Block Patterns — Observations on Differential Diagnosis. In: Lüderitz, B. (eds) Cardiac Pacing. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66356-7_12

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  • DOI: https://doi.org/10.1007/978-3-642-66356-7_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-66358-1

  • Online ISBN: 978-3-642-66356-7

  • eBook Packages: Springer Book Archive

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