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If the electrical axis is between -30° and -90° this is considered left axis deviation. If the electrical axis is between +90° and +180° this is considered right axis deviation (RAD). RAD is an ECG finding that arises either as an anatomically normal variant or an indicator of underlying pathology.
Nonetheless, the ECG is used to assist with the diagnosis of RVH. A post mortem study on 51 adult male patients concluded that anatomical RVH may be diagnosed using one or more of the following ECG criteria: [8] Right axis deviation of more than (or equal to) 110° (see hexaxial reference figure) R-wave dominant over S-wave in V1 or V2
The definition of poor R wave progression (PRWP) varies in the literature. It may be defined, for example, as R wave of less than 2–4 mm in leads V 3 or V 4 and/or presence of a reversed R wave progression, which is defined as R in V 4 < R in V 3 or R in V 3 < R in V 2 or R in V 2 < R in V 1, or any combination of these. [11]
A right bundle branch block (RBBB) is a heart block in the right bundle branch of the electrical conduction system. [1]During a right bundle branch block, the right ventricle is not directly activated by impulses traveling through the right bundle branch.
A right bundle branch block typically causes prolongation of the last part of the QRS complex and may shift the heart's electrical axis slightly to the right. The ECG will show a terminal R wave in lead V1 and a slurred S wave in lead I. Left bundle branch block widens the entire QRS, and in most cases shifts the heart's electrical axis to the ...
R or S in limb leads ≥20 mm; S in V 1 or V 2 ≥30 mm; R in V 5 or V 6 ≥30 mm; 3 ST-T Abnormalities: ST-T vector opposite to QRS without digitalis; ST-T vector opposite to QRS with digitalis; 3 1 Negative terminal P mode in V 1 1 mm in depth and 0.04 sec in duration (indicates left atrial enlargement) 3 Left axis deviation (QRS of −30 ...
An R-on-T can initiate torsades. Sometimes, pathologic T-U waves may be seen in the ECG before the initiation of torsades. [19] A "short-coupled variant of torsade de pointes", which presents without long QT syndrome, was also described in 1994 as having the following characteristics: [20] Drastic rotation of the heart's electrical axis
These impulses are recorded by an ECG, which shows how fast, the rhythm, intensity and timing of the electrical impulses as they travel through the heart. [51] Electrocardiography shows right ventricular hypertrophy (RVH), along with right axis deviation. [24] RVH is noted on EKG as tall R-waves in lead V1 and deep S-waves in lead V5–V6. [52]