LPFB
Technical documentation
Left Posterior Fascicular Block
Block in the broad posterior fascicle of the left bundle branch. Ventricular activation proceeds first anterosuperiorly and then posteroinferiorly and rightward. Results in marked right axis deviation (between +90° and +180°), rS in I and aVL, and qR in II, III, and aVF with QRS < 120 ms. Other causes of right axis deviation (RV hypertrophy, acute PE) must be excluded.
Also known as: Left Posterior Fascicular Block · hemibloqueo posterior izquierdo · HBPI · bloqueo fascicular posterior izquierdo · bloqueo de subdivision posterior izquierda · left posterior fascicular block · left posterior hemiblock · LPFB
What parameters does the model use?
The following values are applied by the simulation engine to this entity. They govern activation kinematics in the 3D model and the real-time synthesis of the 12-lead electrocardiogram.
What parameters does the model use?
| Parameter | Model value |
|---|---|
| Mechanism | Bloqueo |
| Impulse origin | Sinoatrial node (SA node) |
| Modeled rate | 60–100 bpm (default 75) |
| Regularity | Regular |
| P wave | Sinus (upright in I, II, aVF) |
| PR interval | 120–200 ms (default 160) |
| QRS duration | 105 ms |
| QRS morphology | Left posterior fascicular block |
| AV conduction | 1:1 AV conduction |
| Severity | Clinically significant |
Which leads should be evaluated?
The catalog marks as primary diagnostic leads I, aVL, II, III, aVF. rS in I and aVL, qR in II, III, aVF with marked right axis deviation (+90° to +180°).
In the simulator, these leads are highlighted on the 12-channel tracing and corresponding vectors are rendered on the 3D model, displaying electrical changes and anatomical origin simultaneously.
Frequently asked clinical questions
How is Left Posterior Fascicular Block identified on the 12-lead ECG?
Block in the broad posterior fascicle of the left bundle branch. Ventricular activation proceeds first anterosuperiorly and then posteroinferiorly and rightward. Results in marked right axis deviation (between +90° and +180°), rS in I and aVL, and qR in II, III, and aVF with QRS < 120 ms. Other causes of right axis deviation (RV hypertrophy, acute PE) must be excluded. The characteristic diagnostic waveforms are generated in real time across the simulated 12-lead tracing.
Which leads are critical for diagnostic confirmation?
The primary diagnostic leads are I, aVL, II, III, aVF. rS in I and aVL, qR in II, III, aVF with marked right axis deviation (+90° to +180°). In the simulator, these channels highlight the correlation with anatomical vectors.
What is the underlying electrophysiological or anatomical mechanism?
It originates from altered conduction in the SA_NODE, mediated by bloqueo.
How can this condition be explored in the 3D simulator?
MioAtlas offers direct deep-link reproducibility with preconfigured parameters, allowing full 3D cardiac rotation and lead vector inspection.
How do you open this configuration?
The simulator encodes its full state in the query string, providing a stable and reproducible URL:
https://mioatlas.com/simulador/en/?mode=conduction&arr=LPFB
Related entities
Other entities in the same category within the catalog:
Sources and bibliographic references
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Surawicz B, Childers R, Deal BJ, et al. (2009). "AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part III: Intraventricular conduction disturbances". Circulation.
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Anderson RH, Yanni J, Boyett MR, Chandler NJ, Dobrzynski H (2009). "The anatomy of the cardiac conduction system". Clin Anat.
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Kligfield P, Gettes LS, Bailey JJ, et al. (2007). "Recommendations for the standardization and interpretation of the electrocardiogram: Part I: The electrocardiogram and its technology". Circulation.