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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
Emphysema: α-1 Antitrypsin Deficiency
Report: Sinus rhythm Left axis deviation â 80o Comment: The commonest cause of LAD is LAHB; in middle-aged men, the commonest cause of LAHB is underlying coronary disease, often subclinical. This trace looks like LAHB, down to QR in aVR and RS in V6.
Axis Illusion in Emphysema
Report:Sinus tachycardia 110/min Right atrial abnormality P axis +85o Left axis deviation QRS â90o Late (or no) transition Comment:An immediate clue that the LAD is not due to an LAHB (its commonest cause, overall) is that S2 > S3, opposite of w
Emphysema: Left Axis Deviation
Report:Sinus tachycardia Right atrial abnormality Left axis deviation â40o Possible old anterior infarction Suggestive of emphysema Comment:Characteristically, S2 > S3 in LAD due to emphysema vis à vis LAHB. Some argue this is not a true LAD but a
Left Axis Deviation: Axis Illusion of Emphysema
Report:Sinus rhythm 92/min Left axis deviation â80o Right atrial abnormality (RAA) Q waves in 3, aVF Comment:Although it is not an abnormality per se, the QRS complexes in emphysema are often characteristically slender. The P waves are pointed and