Calculating cardiac axis | right and left axis deviation | Cardiovascular physiology
Physiology lecture on cardiovascular system physiology explains Electrical axis of the heart or cardiac axis is average direction of depolarisation of heart.
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It is generally determined from ECG’s of lead I and lead aVF.
For calculation, we need to
1)Determine voltage of QRS complex in these leads by subtracting the amplitude of R wave with most negative wave (which can be either Q wave or R wave)
2) Mark them on a paper along with lead direction and determine the electrical axis
3)Drop a perpendicular from the marked points this points. These perpendiculars will meet at some point. Now from the centre draw an arrow to meet the point of the intersection.
The angle of this central line from the horizontal is the electrical axis of heart.
Normal range of this cardiac axis is -30 degrees to +110 degrees. If the axis is more negative than -30 degrees, it is left axis deviation and if it is more positive than +110 degrees, it means right axis deviation.
As a shortcut,
If both lead I and avF QRS complexes are positive..it is normal axis
If Lead I -ve, avF +ve, it is RAD
If Both -ve, extreme axis
If Lead I +ve and avF -ve… look at lead II.. if lead II is positive, it is normal axis, if -ve it is left axis deviation.
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Пікірлер: 26
Thank you so much professor, understood everything 🙏
@PhysiologyOpen
Жыл бұрын
Glad it was helpful!
JAISE -30 DEGREE NORMAL HE WESE HI 110 DEG BHI TO NORMAL HE TO HUM USKELIA LEAD2 DEK SAKTE HE KY
Thankyou so much professor So concise and clear.
@PhysiologyOpen
2 жыл бұрын
So so glad. Keep learning
@doctorsimran9080
2 жыл бұрын
@@PhysiologyOpen okay maam
Thanks a lot mam ..... incredible
@PhysiologyOpen
Жыл бұрын
Thanks a lot
mam at 2:15 . what is it mean by subtracting the amplitude of R wave . can you plz elaborate further or give an example plz
@PhysiologyOpen
2 жыл бұрын
I think you mean calculation of Amplitude of QRS complex ...subtract S wave amplitude from R wave
Excellent
@PhysiologyOpen
Жыл бұрын
Thanks 😊
If lead 1 is postive and avf is negative and while chkng lead 2 if it is isoelectric then what it is
@PhysiologyOpen
2 жыл бұрын
Any example ?
nice
@PhysiologyOpen
2 жыл бұрын
Thanks 😊
Didi you teach too good... 😇😇
@PhysiologyOpen
Жыл бұрын
😊🙏
Sir ji ' right axis deviation' h mere ecg me ..iska ka matalab h ....it is to serious or not....I'm 22 years old
@PhysiologyOpen
Жыл бұрын
depends on other clinical features
@digitalindia1305
Жыл бұрын
@@PhysiologyOpen Mene aaj echocardiogram krvaya ...to MV- anterior mitral leaflet is long, redundant and show grade I mitral valve prolapse pattern....bta rha h to kch problem h ? 🙏
@PhysiologyOpen
Жыл бұрын
@@digitalindia1305 Mittal valve prolapse causes mitral valve regurgitation which can cause left ventricular hypertrophy but right axis deviation means right ventricular hypertrophy.....so the diagnosis has to be proper what caused what
Mam please make a video on cardiac cycle please 😀
@PhysiologyOpen
2 жыл бұрын
Will surely do
@supreethnarayan902
2 жыл бұрын
@@PhysiologyOpen Thankyou mam 👍 your explanations are awesome and lucid 😁
@PhysiologyOpen
2 жыл бұрын
So glad 😊