ECG axis: Difference between revisions

(Text replacement - "Category:Cards" to "Category:Cardiology")
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*If up in leads 1 and AVF then normal axis
[[File:Axes.png|thumb|ECG Axis]]
[[File:Axes.png|thumb|ECG Axis]]
[[File:Limb_leads.png|thumb|Limb and augmented leads]]
[[File:Limb_leads.png|thumb|Limb and augmented leads]]
[[File:Precordial_leads.png|thumb|Precordial leads]]
[[File:Precordial_leads.png|thumb|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==
==Right Axis Deviation==
*Causes:
**Right ventricular hypertrophy
**Pulmonary HTN - 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


;Causes:
==Left Axis Deviation==
*Right ventricular hypertrophy
*Causes:
*Pulmonary HTN - Acute (PE) & chronic lung disease (COPD)
**Left anterior fascicular block
*Left posterior fascicular block
**Left Bundle Branch Block
*Lateral MI (from Q-waves in lead I)
**Inferior MI
*Ventricular ectopy (VT)
**Left Ventricular Hypertrophy
*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==
==See Also==
*[[ECG (Main)]]
*[[ECG (Main)]]
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==Video==
==Video==
{{#widget:YouTube|id=grFic4Gb0zA}}
{{#widget:YouTube|id=grFic4Gb0zA}}
==References==
<references/>


[[Category:Cardiology]]
[[Category:Cardiology]]

Revision as of 12:54, 28 March 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 HTN - 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

{{#widget:YouTube|id=grFic4Gb0zA}}

References