U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Trifascicular block on electrocardiogram

MedGen UID:
745672
•Concept ID:
C2216155
•
Finding
SNOMED CT: Trifascicular block on electrocardiogram (445309007)

Professional guidelines

PubMed

The left hemiblocks: significance, prognosis and treatment.
Kulbertus HE, Demoulin JC
Schweiz Med Wochenschr 1982 Nov 6;112(45):1579-84. PMID: 7156951

Recent clinical studies

Etiology

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
Hemiblocks and the fascicular system: myths and implications.
Fisher JD
J Interv Card Electrophysiol 2018 Aug;52(3):281-285. Epub 2018 Aug 20 doi: 10.1007/s10840-018-0440-1. PMID: 30128802
Temporary Transvenous Pacemaker Implantation during Carotid Endarterectomy in Patients with Trifascicular Block.
Marrocco-Trischitta MM, Mazzone P, Vitale R, Regazzoli D, Laricchia A, Chiesa R
Ann Vasc Surg 2016 Jul;34:206-11. Epub 2016 May 10 doi: 10.1016/j.avsg.2015.12.025. PMID: 27177706
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573
Incidence and site of atrioventricular block in patients with chronic bifascicular block.
Dhingra RC, Wyndham C, Amat-y-Leon F, Denes P, Wu D, Sridhar S, Bustin AG, Rosen KM
Circulation 1979 Feb;59(2):238-46. doi: 10.1161/01.cir.59.2.238. PMID: 758992

Diagnosis

Fascicular Blocks: Update 2019.
Elizari MV
Curr Cardiol Rev 2021;17(1):31-40. doi: 10.2174/1573403X16666200708111928. PMID: 32640960Free PMC Article
Alternating trifascicular block and cardiac memory.
Danon A, Shurrab M
J Electrocardiol 2017 Nov-Dec;50(6):966-968. Epub 2017 Jul 12 doi: 10.1016/j.jelectrocard.2017.07.006. PMID: 28802655
Electrovectorcardiographic diagnosis of left septal fascicular block: anatomic and clinical considerations.
Pérez Riera AR, Ferreira C, Ferreira Filho C, Meneghini A, Uchida AH, Moffa PJ, Schapachnik E, Dubner S, Baranchuk A
Ann Noninvasive Electrocardiol 2011 Apr;16(2):196-207. doi: 10.1111/j.1542-474X.2011.00416.x. PMID: 21496172Free PMC Article
Trifascicular block and a raised Troponin 'T' in acute cholecystitis.
Seewoodhary J, Griffin L
QJM 2010 Feb;103(2):121-3. Epub 2009 Oct 21 doi: 10.1093/qjmed/hcp156. PMID: 19846576
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573

Therapy

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
Temporary Transvenous Pacemaker Implantation during Carotid Endarterectomy in Patients with Trifascicular Block.
Marrocco-Trischitta MM, Mazzone P, Vitale R, Regazzoli D, Laricchia A, Chiesa R
Ann Vasc Surg 2016 Jul;34:206-11. Epub 2016 May 10 doi: 10.1016/j.avsg.2015.12.025. PMID: 27177706
Cholera and myocarditis--a case report.
Leon F, Badui E, Campos A, Enciso R, Fakih T, Guadarrama M, Valdespino A, Murillo H, Calleja C
Angiology 1997 Jun;48(6):545-9. doi: 10.1177/000331979704800610. PMID: 9194541
Trifascicular and complete heart block with anterior myocardial infarction. Electrocardiographic patterns and long-term medical management.
Klein MD, Levine PA, Ryan TJ
Chest 1978 Oct;74(4):459-62. doi: 10.1378/chest.74.4.459. PMID: 699663
Congenital intraventricular trifascicular block.
Chan TS, Potter RT, Liu L
Am J Dis Child 1973 Jan;125(1):82-7. doi: 10.1001/archpedi.1973.04160010052012. PMID: 4265126

Prognosis

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
Hemiblocks and the fascicular system: myths and implications.
Fisher JD
J Interv Card Electrophysiol 2018 Aug;52(3):281-285. Epub 2018 Aug 20 doi: 10.1007/s10840-018-0440-1. PMID: 30128802
Hemiblocks revisited.
Elizari MV, Acunzo RS, Ferreiro M
Circulation 2007 Mar 6;115(9):1154-63. doi: 10.1161/CIRCULATIONAHA.106.637389. PMID: 17339573
Incidence and site of atrioventricular block in patients with chronic bifascicular block.
Dhingra RC, Wyndham C, Amat-y-Leon F, Denes P, Wu D, Sridhar S, Bustin AG, Rosen KM
Circulation 1979 Feb;59(2):238-46. doi: 10.1161/01.cir.59.2.238. PMID: 758992
Trifascicular and complete heart block with anterior myocardial infarction. Electrocardiographic patterns and long-term medical management.
Klein MD, Levine PA, Ryan TJ
Chest 1978 Oct;74(4):459-62. doi: 10.1378/chest.74.4.459. PMID: 699663

Clinical prediction guides

Impact of bundle branch block morphology on outcomes of patients with syncope and bifascicular block: A SPRITELY (POST 3) substudy.
Neira V, Enriquez A, Sheldon R, Hanson MG, Maxey C, Baranchuk A
Heart Rhythm 2023 Jan;20(1):31-36. Epub 2022 Sep 29 doi: 10.1016/j.hrthm.2022.09.018. PMID: 36184061
Fascicular Blocks: Update 2019.
Elizari MV
Curr Cardiol Rev 2021;17(1):31-40. doi: 10.2174/1573403X16666200708111928. PMID: 32640960Free PMC Article
Generating Purkinje networks in the human heart.
Sahli Costabal F, Hurtado DE, Kuhl E
J Biomech 2016 Aug 16;49(12):2455-65. Epub 2015 Dec 22 doi: 10.1016/j.jbiomech.2015.12.025. PMID: 26748729Free PMC Article
Incidence and site of atrioventricular block in patients with chronic bifascicular block.
Dhingra RC, Wyndham C, Amat-y-Leon F, Denes P, Wu D, Sridhar S, Bustin AG, Rosen KM
Circulation 1979 Feb;59(2):238-46. doi: 10.1161/01.cir.59.2.238. PMID: 758992
Intraventricular trifascicular block. Observations on conduction disturbance in bundle-branch system.
el-Sherif N
Br Heart J 1971 Jul;33(4):626-8. doi: 10.1136/hrt.33.4.626. PMID: 5557505Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • ClinVar
      Related medical variations
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...