Heart & Cardiology/ECG


Dear Dr Richardson,

I am concerned regarding a recent ecg - a friend kindly referred me to your site.

About a year ago, I developed Left Anterior Hemiblock. There were no other problems other than some white coat hypertension.

I have read your previous responses - i.e. that it is benign. However I stupidly googled it and found that a new study questions whether this is the case. Here is a link on the report.


Could you please give me your thoughts on this? I am 32, fairly fit.

Thanks so much,

Hello David,

Thanks for the excellent reference.  I'll consider it at length.  Note the small increase in events in the group with LAFB over those without.  I'll await other studies.  At present I'm not convinced that LAFB carries extra risk.

David Richardson

Heart & Cardiology

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David Richardson


Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.


Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Circulation, American Heart Journal, Hypertension.

M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

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