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Electrical Axis of the HEART

Dr. Tcaciuc Angela


1.Horisontal electric exis
α 0°+30°; RI˃RII˃RIII; aVF R>S
2. Electric exis Deviation to the left
α 0°-30°; RI˃RII˃RIII; aVF S>R
3.Electric exis high deviation to the left
α <-30°; RI˃RII˃RIII. aVF S>R; SIII>RIII; SII>RII,
aVR R> S(Q); Left Anterior Fascicular Block (LAFB)
4.Electric exis normal or intermediate
α +30°+70°; RII˃RI˃RIII; aVL (R almost equal S)
5.Electric exis vertical
α +70°+90°; RII˃RIII˃RI; aVL ( S>R)
6.Electric exis deviation to the right
α +90°+120°; RIII˃RII˃RI; aVR (additional R < Q(S))
7.Electric exis high deviation to the right
α >+120°; RIII˃RII˃RI; aVR (additional R ≥Q(S)),
Left posterior fascicular block (LPFB)
7.Electric exis high deviation to the right
α >+120°; RIII˃RII˃RI; aVR (additional R ≥Q(S)), Left posterior fascicular
block (LPFB)

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