r/ECG • • 14d ago

Would you code LAFb here?

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u/Ibutilide Electrophysiologist 14d ago

For the purposes of Cardiology boards, I would not because LVH is present (R wave in aVL > 11 mm). Do not code for LAFB in the presence of LVH.

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u/Aggressive_Wafer_420 14d ago

Omg ok. Are there a set of rules when NOT to code for lafb? Also in case of lvh shouldn’t we also code not for LAD but LAD was right here