Research Letter

Left Anterior Fascicular Block Associated with Atrioventricular Block during Exercise Stress Test

Introduction

The exercise stress test (EST) has been indicated in various clinical situations. Despite the robust evidence about the clinical significance of ST-T abnormalities during exercise, little attention has been paid to the development of exercise-induced intraventricular conduction disorders.

Conduction disorders and fascicular blocks induced during EST are rare. The prevalence of stress-induced left bundle-branch blocks (LBBB) ranges from 0.3%-0.5%, and frequently, the prognosis is more adverse (greater CAD and heart failure prevalence).

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