ECG axis: Difference between revisions
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[[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 | |||
==Left Axis Deviation== | |||
* | *Causes: | ||
**Left anterior fascicular block | |||
*Left | **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
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}}
