Right fascicular blocks: A case series and a comprehensive electrocardiographic analysis

J Electrocardiol. 2023 Nov-Dec:81:159-162. doi: 10.1016/j.jelectrocard.2023.09.006. Epub 2023 Sep 16.

Abstract

The main trunk of the right bundle branch divides into an anterior, middle (lateral) and posterior fascicle. This article describes the right anterior and posterior fascicular block. They present a diagnostic challenge and are often overlooked during diagnostic processes. The studied patients were young adults whose electrocardiographic tracings were registered at the Mexican Faculty of Medicine of La Salle University. The presence of delayed R-peak time in aVR and V1, along with the described ventricular complex morphologies, and a right or left deviation of the cardiac axis exceeding +60°, may be suggestive of right fascicular blocks.

Keywords: Hemiblock; Intraventricular conduction disorder; Right bundle branch block; Right fascicular blocks; aVR.

MeSH terms

  • Bundle of His
  • Bundle-Branch Block* / diagnosis
  • Electrocardiography
  • Heart Conduction System
  • Humans
  • Ventricular Septum*