Primary Care Baseline | EKG Interpretation Algorithms
Differential for Wide QRS

no P waves

PR < .12 sec? YES -> Wolff-Parkinson-White

total QRS prolonged? YES -> quinidine or procainamide toxicity, severe hyperkalemia

initial QRS peaked in V1-V6? YES -> right bundle branch block (RBBB)

QRS wide overall in V1-V6? YES -> left bundle branch block (LBBB)

LBBB with axis < -45 degrees? YES -> left anterior hemiblock (LAHB)

LBBB with axis > 120 degrees? YES -> left posterior hemiblock (LPHB)


Related Topics: 12-lead EKG Interpretation
Richard Rathe, MD / rrathe@dean.med.ufl.edu (November 8, 2000)