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  • Axis Determination

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    anakagungbagus
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    This document describes two methods for determining cardiac axis from an electrocardiogram (ECG). Method 1 involves checking leads I and aVF to determine if the QRS complex is predominantly positive or negative, and using this to identify if the axis is extreme right, right, normal, or left. Method 2 involves identifying the isoelectric lead that averages to the baseline, finding the perpendicular lead on the axis circle, and using leads I and aVF to read the axis value in degrees.

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    This document describes two methods for determining cardiac axis from an electrocardiogram (ECG). Method 1 involves checking leads I and aVF to determine if the QRS complex is predominantly positive or negative, and using this to identify if the axis is extreme right, right, normal, or left. Method 2 involves identifying the isoelectric lead that averages to the baseline, finding the perpendicular lead on the axis circle, and using leads I and aVF to read the axis value in degrees.

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    Attribution Non-Commercial (BY-NC)
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    Download as doc, pdf, or txt
    50 views1 page

    Axis Determination

    Uploaded by

    anakagungbagus
    This document describes two methods for determining cardiac axis from an electrocardiogram (ECG). Method 1 involves checking leads I and aVF to determine if the QRS complex is predominantly positive or negative, and using this to identify if the axis is extreme right, right, normal, or left. Method 2 involves identifying the isoelectric lead that averages to the baseline, finding the perpendicular lead on the axis circle, and using leads I and aVF to read the axis value in degrees.

    Copyright:

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    Download as DOC, PDF, TXT or read online from Scribd
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    Axis Determination: Method 1 A. Check lead I (0 degrees) 1. QRS positive (predominately up) a. Vector points to patient's Left b.

    Correlates with right half of axis circle 2. QRS negative (predominately down) a. Vector points to patient's Right b. Correlates with left half of axis circle B. Check lead aVF (90 degrees) 1. QRS positive (predominately up) a. Vector points to bottom half of axis circle 2. QRS negative (predominately down) a. Vector points to upper half of axis circle C. Interpretation 1. Indeterminate: Extreme Right Axis Deviation a. Lead I: Negative QRS b. Lead aVF: Negative QRS 2. Right Axis Deviation a. Lead I: Negative QRS b. Lead aVF: Positive QRS 3. Normal range a. Lead I: Positive QRS b. Lead aVF: Positive QRS 4. Left Axis Deviation a. Lead I: Positive QRS b. Lead aVF: Negative QRS II. Axis Determination: Method 2 A. Select Isoelectric lead from limb and augmented leads 1. Isoelectric lead averages to baseline 2. Positive deflection equals negative deflection B. Identify isoelectric lead on axis circle C. Choose lead that is perpendicular to isoelectric lead D. Use Lead I and aVF to determine quadrant E. Read perpendicular lead's degrees off axis circle

    I.

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