ECG axis: Difference between revisions

(Text replacement - "* " to "*")
(Text replacement - "HTN" to "hypertension")
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*Causes:
*Causes:
**Right ventricular hypertrophy
**Right ventricular hypertrophy
**Pulmonary HTN - Acute (PE) & chronic lung disease (COPD)
**Pulmonary hypertension - Acute (PE) & chronic lung disease (COPD)
**Left posterior fascicular block
**Left posterior fascicular block
**Lateral MI (from Q-waves in lead I)
**Lateral MI (from Q-waves in lead I)

Revision as of 12:31, 31 July 2016

ECG Axis
Limb and augmented leads
Precordial leads

Normal Axis

  • -30°→90°
  • Dominant QRS direction (positive or negative) can be used to approximate axis
    • Normal axis if positive QRS in leads I and aVF

Right Axis Deviation

  • Causes:
    • Right ventricular hypertrophy
    • Pulmonary hypertension - Acute (PE) & chronic lung disease (COPD)
    • Left posterior fascicular block
    • Lateral MI (from Q-waves in lead I)
    • Ventricular ectopy (VT)
    • Hyperkalemia
    • Lead misplacement
    • Dextrocardia
    • Normal thin adults with horizontally positioned hearts

Left Axis Deviation

  • Causes:
    • Left anterior fascicular block
    • Left Bundle Branch Block
    • Inferior MI
    • Left Ventricular Hypertrophy

See Also

Video

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External Links

References