Axis Flashcards

1
Q

What is electrical axis

A

The sum total of all vectors generated by action
potentials of individual ventricular myocytes.

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2
Q

What can a deviated axis indicate?

A

Infarct, Hypertrophy, Conduction delay, Pregnancy, COPD, Obesity

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3
Q

Isoelectric means

A

Lead that is exactly the
same distance + as it is -

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4
Q

How many isoelectric leads does each EKG have?

A

1

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5
Q
  • in I, - in aVF
A

Extreme right axis deviation

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6
Q

+ in I, - in aVF

A

Left axis deviation

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7
Q
  • in I, + in aVF
A

Right axis deviation

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8
Q

+ in I, + in aVF

A

Normal axis

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9
Q

A normal axis is from

A

-30 to 110

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10
Q

What axis may be pathological or physiological?

A

Left

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11
Q

A left axis deviation with a positive QRS in lead II is

A

Physiological

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12
Q

A left axis deviation with a negative QRS in lead II is

A

Pathological

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13
Q

The isoelectric lead will always have

A

The smallest QRS complex

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14
Q

List causes of right axis deviation

A
  1. Normal in adolescents and children
  2. Right ventricular hypertrophy
  3. Left posterior hemiblock
  4. Dextrocardia –mirror image
  5. Ectopic ventricular beats and rhythm
  6. RBBB
  7. Emphysema
  8. Lt MI
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15
Q

Causes of left axis deviation

A
  1. Left anterior hemiblock (LAH)
  2. Ectopic ventricular beats and rhythms
  3. Pregnancy
  4. Ascites
  5. Abdominal tumors
  6. Left ventricular hypertrophy
  7. Rt MI
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16
Q

The most frequent cause of left axis deviation is

A

Left anterior hemiblock