Can be either, depends on the patient's age. EKG has mild sinus arrhythmias (best seen in lead V1-V3), a bit prominent J waves (best seen in inferior leads), as well as generally high voltages (inferior leads, as well as chest leads), and an relatively vertical axis (between 60-90 degrees). All these findings can be normal in younger patients, which is probably the case here.
Although it is not always the case, in typical LVH (usually due to HTN), you see a large R wave in aVL, reflecting leftwards axis. In this case aVL is negative, indicative of an axis of more than 60 degrees, possibly between 75-80 in this case (relatively vertical). The relatively larger voltages in chest leads (V1-V6) along with this vertical, or even rightwards axis, can be seen in many otherwise healthy younger patients.
Abnormal? Strain?
Can be either, depends on the patient's age. EKG has mild sinus arrhythmias (best seen in lead V1-V3), a bit prominent J waves (best seen in inferior leads), as well as generally high voltages (inferior leads, as well as chest leads), and an relatively vertical axis (between 60-90 degrees). All these findings can be normal in younger patients, which is probably the case here.
Great to learn !!! Needs more refreshing of EKG π
Abnormal. High viltage contractility all over. It could be systemic resistance such in HTN or increased contractility such as in increased preload
Thatβs very interesting to know. Thank you fir sharing this info.
Although it is not always the case, in typical LVH (usually due to HTN), you see a large R wave in aVL, reflecting leftwards axis. In this case aVL is negative, indicative of an axis of more than 60 degrees, possibly between 75-80 in this case (relatively vertical). The relatively larger voltages in chest leads (V1-V6) along with this vertical, or even rightwards axis, can be seen in many otherwise healthy younger patients.
Absolutely love this. There is very much to learn about normal heart that we didnt study in medical school.
ο»Ώ@Fathi Idrisο»Ώ
You are right β ..
This is a normal ECG for young male ..Thank you Dr Fathi for your informative explanation as usual.