Right Axis Deviation

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Zahra Savand-roomi - One of the best experts on this subject based on the ideXlab platform.

Hakimeh Sadeghian - One of the best experts on this subject based on the ideXlab platform.

Masahiko Kurabayashi - One of the best experts on this subject based on the ideXlab platform.

Gianluca Di Bella - One of the best experts on this subject based on the ideXlab platform.

  • Transient Right Axis Deviation with left posterior hemiblock and junctional rhythm during acute myocardial infarction.
    International Journal of Cardiology, 2009
    Co-Authors: Salvatore Patanè, Filippo Marte, Antonia Mancuso, Gianluca Di Bella
    Abstract:

    One of the most common causes of hemiblocks is coronary artery disease, and there is a particularly frequent association between anteroseptal myocardial infarction and left anterior hemiblock. Changing Axis Deviation has been reported during acute myocardial infarction also associated with atrial fibrillation. Isolated left posterior hemiblock is a very rare finding but the evidence of transient Right Axis Deviation with a left posterior hemiblock pattern has been reported during acute anterior myocardial infarction as related with significant Right coronary artery obstruction and collateral circulation between the left coronary system and the posterior descending artery. We present a case of transient changing Axis Deviation, transient Right Axis Deviation, transient left posterior hemiblock pattern and transient junctional rhythm too in a 61-year-old Italian man with acute myocardial infarction and a significant left anterior descending coronary artery stenosis.

  • Atrial fibrillation with intermittent Right Axis Deviation in the presence of complete left bundle branch block.
    International journal of cardiology, 2007
    Co-Authors: Salvatore Patanè, Filippo Marte, Gianluca Di Bella, Amedeo Chiribiri
    Abstract:

    Left bundle branch block is usually associated with normal or left Axis Deviation. Rarely the ecg shows an LBBB with changing QRS morphology and changing Axis Deviation. We describe a case of atrial fibrillation with intermittent Right Axis Deviation in the presence of complete left bundle branch block in an 84-year-old Italian woman in the Cardiology Unit.

  • Atrial fibrillation with left bundle branch block and intermittent Right Axis Deviation during acute myocardial infarction
    International journal of cardiology, 2007
    Co-Authors: Salvatore Patanè, Filippo Marte, Gianluca Di Bella
    Abstract:

    Rarely the ECG shows an LBBB with changing QRS morphology and changing Axis Deviation. The intermittent positive aspect of the neglected lead aVR indicates an intermittent Right Axis Deviation in the presence of complete LBBB. An additional left posterior fascicular block accompanying predivisional LBBB is the possible explanation. We describe the case of a 78-year-old Italian woman admitted to the Cardiology Unit with acute myocardial infarction and permanent atrial fibrillation. Electrocardiographic changes were observed. The ECG showed atrial fibrillation and LBBB with intermittent left Axis Deviation or atrial fibrillation and LBBB with intermittent Right Axis Deviation.

Pedro Brugada - One of the best experts on this subject based on the ideXlab platform.

  • Cardiac depolarization and repolarization in Wolff-Parkinson-White syndrome.
    American heart journal, 1994
    Co-Authors: Günter Steurer, Bernhard Frey, Sinan Gürsoy, Kallinikos Tsakonas, Alpay Celiker, Eric Andries, Karl Heinz Kuck, Pedro Brugada
    Abstract:

    Delta wave and QRS complex polarities have been extensively studied in preexcitation syndromes. However, only limited data exist about ventricular depolarization and repolarization in the setting of maximal preexcitation in relation to the site of insertion of the accessory pathway. Therefore this study was designed to systematically analyze cardiac depolarization and repolarization in patients with maximal preexcitation. We analyzed the polarity of the QRS complex and T wave on the frontal plane on the conventional 12-lead electrocardiogram in 118 patients with maximal preexcitation. Fast atrial pacing was used to provoke maximal ventricular preexcitation. The 32 patients with a left lateral accessory pathway showed Right-Axis Deviation of the QRS complex (110 +/- 20 degrees) with a left-Axis Deviation of the T-wave Axis (-40 +/- 25 degrees). The 54 patients with a posteroseptal accessory pathway had a left Axis of the QRS complex (-50 +/- 20 degrees) with a Right-Axis Deviation of the T-wave Axis (95 +/- 15 degrees). The 11 patients with a Right lateral accessory pathway had a left Axis of the QRS complex (-40 +/- 20 degrees) and a Right Axis of the T wave (110 +/- 10 degrees). In 7 patients with a left anterolateral accessory pathway and 14 patients with a Right anteroseptal accessory pathway, the Axis of the QRS complex was 50 +/- 25 degrees and 45 +/- 20 degrees, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)