ECG Strip 23

 

ECG Strip 23 - trifascicular block
 

This is ECG of a patient (approximately 79 years, male) with chronic heart failure and aortic valvular stenosis indicated to a cardio surgical intervention. The PQ interval is prolonged to about 220-240ms (first-degree AV block) and in addition, there are, LAFB and RBBB. This condition is referred to as the trifascicular block.