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Infra-Hisian Conduction Disturbance and Alternating Left Anterior/Posterior Fascicular Block. 2024
Anne-Sophie Lacharite-Roberge, and
Gregory M Petersen, and
Kavisha Patel, and
Jonathan C Hsu, and
Frederick T Han, and
Gregory K Feld, and
Melvin Scheinman, and
Kurt S Hoffmayer
Section of Electrophysiology, Division of Cardiology, Department of Medicine, University of California-San Diego, La Jolla, California, USA.
We present an unusual case of alternating left anterior and left posterior fascicular block. Given the known risk for progression to complete atrioventricular block with alternating right bundle and left bundle branch block, we performed an electrophysiological study. Findings were consistent with infra-Hisian disease, and the patient underwent pacemaker implantation.
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