Bifascicular Block: Harmless Finding or a Red Flag?

A 65-year-old male presented to his primary care physician's office for an annual physical exam.He was completely asymptomatic and had a normal physical exam.A 12-lead electrocardiogram (ECG) was obtained as part of pre-operative evaluation for an upcoming elective surgery, which is shown in Figure 1A. Questions:1. Describe the ECG and the significance of these findings?2. What are the next steps in management?

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Publication Details

Journal
Transformative Medicine
Published
2025-09-22
DOI
https://doi.org/10.54299/tmed/dfsb7408
Primary Topic
Cardiac, Anesthesia and Surgical Outcomes
Type
article
Field-Weighted Citation Impact
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article

Bifascicular Block: Harmless Finding or a Red Flag?

Muhammad Hanif
Transformative Medicine
Cardiac, Anesthesia and Surgical Outcomes
article

Bifascicular Block: Harmless Finding or a Red Flag?

Muhammad Hanif
article en

Abstract

A 65-year-old male presented to his primary care physician's office for an annual physical exam.He was completely asymptomatic and had a normal physical exam.A 12-lead electrocardiogram (ECG) was obtained as part of pre-operative evaluation for an upcoming elective surgery, which is shown in Figure 1A. Questions:1. Describe the ECG and the significance of these findings?2. What are the next steps in management?

Transformative MedicineVol. 4(3)
Openalex Percentile: Top 59%
Cardiac, Anesthesia and Surgical Outcomes
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Bifascicular Block: Harmless Finding or a Red Flag? — Muhammad Hanif · Transformative Medicine (2025) | TGRS Research Map | TGRS