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    This document discusses various abnormalities that can appear on an electrocardiogram (ECG) measurement. It describes cases where left bundle branch block (LBBB), ostium primum atrial septal defect, and Wolff-Parkinson-White (WPW) syndrome can cause abnormalities. It also discusses right axis deviation, left posterior fascicular block, and conditions that can cause a bizarre QRS axis such as limb lead error, dextrocardia, and complex congenital heart disease. Finally, it provides a link to test knowledge of the lessons covered.

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    This document discusses various abnormalities that can appear on an electrocardiogram (ECG) measurement. It describes cases where left bundle branch block (LBBB), ostium primum atrial septal defect, and Wolff-Parkinson-White (WPW) syndrome can cause abnormalities. It also discusses right axis deviation, left posterior fascicular block, and conditions that can cause a bizarre QRS axis such as limb lead error, dextrocardia, and complex congenital heart disease. Finally, it provides a link to test knowledge of the lessons covered.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    3 views1 page

    38 7-PDF Ec

    Uploaded by

    Lwin Maung Maung Thike
    This document discusses various abnormalities that can appear on an electrocardiogram (ECG) measurement. It describes cases where left bundle branch block (LBBB), ostium primum atrial septal defect, and Wolff-Parkinson-White (WPW) syndrome can cause abnormalities. It also discusses right axis deviation, left posterior fascicular block, and conditions that can cause a bizarre QRS axis such as limb lead error, dextrocardia, and complex congenital heart disease. Finally, it provides a link to test knowledge of the lessons covered.

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    © All Rights Reserved
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    of 1

    Lesson IV - Abnormalities in the ECG Measurements

    Some cases of LBBB

    Ostium primum ASD and other endocardial cushion defects

    Some cases of WPW syndrome (large negative delta wave in


    lead II)

    Right Axis Deviation (RAD): > +90o (i.e., lead I is mostly 'negative')

    Left Posterior Fascicular Block (LPFB): rS complex in lead I, qR


    in leads II, III, aVF (however, must first exclude, on clinical basis,
    causes of right heart overload; these will also give same ECG
    picture of LPFB)

    Many causes of right heart overload and pulmonary hypertension

    High lateral wall MI with Qr or QS complex in leads I and aVL

    Some cases of RBBB

    Some cases of WPW syndrome

    Children, teenagers, and some young adults

    Bizarre QRS axis: +150o to -90o (i.e., lead I and lead II are both negative)

    Consider limb lead error (usually right and left arm reversal)

    Dextrocardia

    Some cases of complex congenital heart disease (e.g.,


    transposition)

    Some cases of ventricular tachycardia

    Test your knowledge on lessons III and IV by


    clicking here (Internet connection required)

    http://library.med.utah.edu/kw/ecg/ecg_outline/Lesson4/index.html (5 of 5) [5/11/2006 9:39:37 AM]

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