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hello everyone and welcome back to clinical cousins youtube channel today weamp;#39;re going to go over how to determine whether your patient has a hemi block also known as a fascicular block in their ekg so we remember from our previous videos that the left bundle branch is really the only branch that has these two main divisions called fascicles so we have a left anterior fascicle and we have a left posterior fascicle so what happens when one of these fascicles becomes blocked well we already know that the left anterior fascicle is sort of compact itamp;#39;s sort of like a single string so it electrically activates the anterior the lateral and the superior aspect of our left ventricle and our diffuse or more spread out left posterior fascicle electrically activates the inferior and posterior aspect of our left ventricle remember everything we talked about today weamp;#39;re talking about the left ventricle only if the left ventricle isnamp;#39;t working weamp;#39;re not living