Trifascicular Block Beat - (BBTI)
Definition
Section titled “Definition”A block of all three fascicles (both bundle branches and one fascicle of the left bundle). Not used here for coding.
Criteria (not used)
Section titled “Criteria (not used)”-
QRS >120 ms.
-
Different P-Q intervals (R-R identical, P-P identical).
-
Often diagnosed if there are nearby beats with bifascicular block.

Priority
Section titled “Priority”The priority of the annotation is determined by the severity of the event.
| Priority | Highest | High | Medium | Low | Lowest |
|---|---|---|---|---|---|
| Continuous | - | - | 1 | - | - |
| Per Minute | - | - | - | - | - |
| Per Hour | - | - | - | - | - |
| Per 24 Hours | - | - | 500 | - | - |
Compatibility
Section titled “Compatibility”These annotations indicate whether they can overlap with other annotations, clarifying their exclusivity or compatibility.
| Label | Description | Compatibility |
|---|---|---|
| UNK | Unclassifiable Beat | ❌ |
| AESC | Atrial Escape Beat | ✅ |
| NPW | Non-Conducted P-Wave (Blocked) | ✅ |
| APC | Atrial Premature Contraction | ✅ |
| ABER | Aberrated Beat | ❌ |
| BBLA | Left Anterior Fascicular Block Beat (Common) | ❌ |
| BBBI | Bifascicular Block Beat | ❌ |
| BBBL | Bilateral Bundle-Branch Block Beat | ❌ |
| BBU | Intraventricular Conduction Disturbance (Non-Specific Block) | ❌ |
| BBLP | Left Posterior Fascicular Block Beat (Rare) | ❌ |
| JESC | Junctional (Nodal) Escape Beat | ✅ |
| JPC | Junctional (Nodal) Premature Contraction | ✅ |
| LBB | Left Bundle Branch Block Beat | ❌ |
| N | Normal Beat | ❌ |
| RBB | Right Bundle Branch Block Beat | ❌ |
| RBBI | Incomplete Right Bundle Branch Block Beat | ❌ |
| VESC | Ventricular Escape Beat | ❌ |
| VPC | Ventricular Premature Contraction | ❌ |
| VPCF | Fusion Of Ventricular And Normal Beat | ❌ |
| RONT | R-On-T Premature Ventricular Beat | ❌ |
| Z | Noise Moderate | ✅ |
| ZZ | Noise Severe | ❌ |
| PAUS | Pause | ✅ |
| ABI | Atrial Bigeminy | ✅ |
| AERY | Atrial Ectopic Rhythm | ✅ |
| AFIB | Atrial Fibrillation | ✅ |
| AFLU | Atrial Flutter | ✅ |
| AAT | Automatic Atrial Tachycardia | ✅ |
| MAT | Multifocal Atrial Tachycardia | ✅ |
| PAT | Paroxysmal Atrial Tachycardia | ✅ |
| AVD | AV Dissociation | ✅ |
| AVDI | AV Dissociation With Interference | ✅ |
| AV1 | First Degree AV Block | ✅ |
| AV2I | Second Degree AV Block Type I | ✅ |
| AV2II | Second Degree AV Block Type II | ✅ |
| AV3 | Third Degree AV Block | ✅ |
| RECP | AV Reciprocating Tachycardia | ✅ |
| RNTR | Reentrant AV Nodal Tachycardia | ✅ |
| JRYA | Accelerated AV Junctional (Nodal) Rhythm | ✅ |
| JRYE | AV Junctional (Nodal) Escape Rhythm | ✅ |
| JT | Junctional Tachycardia | ✅ |
| LGL | Lown-Ganong-Levine Syndrome | ✅ |
| SA2I | Second Degree SA Block Type I | ✅ |
| SA2II | Second Degree SA Block Type II | ✅ |
| SA3 | Third Degree SA Block | ✅ |
| ARHY | Sinus Arrhythmia | ✅ |
| SVT | Supraventricular Tachycardia (Atrial Or Junctional) | ✅ |
| TWA | T-Wave Alternans | ❌ |
| VAIR | Accelerated Idioventricular Rhythm | ✅ |
| VBI | Ventricular Bigeminy | ❌ |
| VFIB | Ventricular Fibrillation | ❌ |
| VFLU | Ventricular Flutter | ❌ |
| VRYI | Idioventricular (Ventricular Escape) Rhythm | ❌ |
| VTS | Slow Ventricular Tachycardia (Idioventricular Tachycardia) | ❌ |
| V2 | Ventricular Couplet | ❌ |
| VTNP | Ventricular Tachycardia (Nonparoxysmal) | ❌ |
| PAVT | Ventricular Tachycardia (Paroxysmal) | ❌ |
| PLVT | Polymorphic Ventricular Tachycardia | ❌ |
| VTDP | Torsades De Pointes Ventricular Tachycardia | ❌ |
| VTRG | Ventricular Trigeminy | ✅ |
| WSP | Wandering Sinus Pacemaker Within The Sinus Node | ❌ |
| WPWA | Wolff-Parkinson Type A | ❌ |
| WPWB | Wolff-Parkinson Type B | ❌ |
| VPCI | Ventricular Interpolated Beat | ✅ |
| A2 | Atrial Couplet | ✅ |
| ARYL | Lower Atrial Rhythm | ✅ |
| ARYM | Middle Atrial Rhythm | ✅ |
| ARYU | Upper Atrial Rhythm | ✅ |
| ATRG | Atrial Trigeminy | ✅ |
| A3 | Atrial Triplet | ✅ |
| JBI | Junctional Bigeminy | ✅ |
| J2 | Junctional Couplet | ✅ |
| JTRG | Junctional Trigeminy | ✅ |
| J3 | Junctional Triplet | ❌ |
| V3 | Ventricular Triplet | ✅ |
| BBB | Bundle Branch Block Beat | |
| (Unspecified) | ❌ | |
| BBTI | Trifascicular Block Beat | ❌ |
| LBBI | Incomplete Left Bundle Branch Block Beat | ❌ |
| SVE | Supraventricular Escape Beat (Least Specific) | ✅ |
| SVPC | Supraventricular Premature Contraction | ✅ |
| ZZZ | Noise (No Signal) | ❌ |
| AT | Atrial Tachycardia | ✅ |
| AVDC | Complete AV Dissociation | ✅ |
| AVDS | Isorhythmic AV Dissociation | ✅ |
| AV2 | Second Degree AV Block | ✅ |
| BRDY | Bradycardia Of Any Type | ✅ |
| JRY | Av Junctional (Nodal) Rhythm | ✅ |
| LHRV | Low Heart Rate Variability | ✅ |
| PREX | Pre-Excitation | ✅ |
| BRDY | Sinus Bradycardia | ✅ |
| SRHY | Normal Sinus Rhythm | ✅ |
| TAHY | Sinus Tachycardia | ✅ |
| SVE | Supraventricular (Atrial Or Junctional) Ectopic Rhythm | ✅ |
| SVTP | Supraventricular Paroxysmal Tachycardia | ✅ |
| VRUN | Ventricular Run | ❌ |
| VPAR | Ventricular Parasystole | ❌ |
| VRY | Ventricular Rhythm | ❌ |
| MOVT | Monomorphic Ventricular Tachycardia | ❌ |
| WAP | Wandering Pacemaker From The Sinus Node To (And From) The A-V Node | ✅ |
| WPW | Wolff-Parkinson-White Syndrome | ❌ |
| A | Artifact | ❌ |