LBBB: Intermittent LAD

Report:

Sinus rhythm

SVEBs

Left bundle branch block

QRS 0.125”

Intermittent left axis deviation –50o

Comment:

Approximately 50% of LBBBs have LAD; this one had LAD 50% of the time! How or why the predivisional LBBB becomes divisional, and back again, is beyond me; but it happens. It happens even with LBBB and RAD26.

Fig 48. 75 year old man with unstable angina and VF arrest in the Ambulance.

If you have any suggestions for or feedback on this report, please let us know.