<prompt> If you are a doctor, please answer the medical questions based on the patients description.I had an abnormal ECG of left posterior fascicular block. readings are as follows and what does this mean? Vent Rate: 62 PR 160, QRS 106, QTQTc 106, P-R-T axes -4, 120 11. I also have hypertension, high cholestorol, left chest pain and shortness of breath  <response>: Hello, After going through the electrocardiogram ECG and medical details, provided by you, I understand your concern for your health. Before giving my opinion, I want you to know Ive not seen your electrocardiogram ECG and giving my opinion only on the report you have written here. A left posterior particular block generally can be due to age-related conduction problems, structural heart disease or coronary artery disease. Your medical history of being Hypertensive and High cholesterol profile with symptoms of Chest pain and shortness of breath are indicative of Angina which needs further evaluation to prevent any damage to heart muscles. Kindly get an echocardiography and stress test done and consult a cardiologist personally for physical evaluation and proper treatment. Hope I have answered your query. Let me know if I can assist you further. 