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QRS axis: Difference between revisions
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[[Image:hart_axis.png|thumb]] | [[Image:hart_axis.png|thumb]] | ||
<flashow>http://nl.ecgpedia.org/images/b/bc/Normal_SR_vector.swf|height=300px</flashow> | <flashow>http://nl.ecgpedia.org/images/b/bc/Normal_SR_vector.swf|height=300px</flashow> | ||
When you average all electrical signals from the heart, you can indicate the direction of the average electrical depolarization with an arrow (vector). This is the heart axis. Especially a change of the heart axis or an extreme deviation can be an indication | When you average all electrical signals from the heart, you can indicate the direction of the average electrical depolarization with an arrow (vector). This is the heart axis. Especially a change of the heart axis or an extreme deviation can be an indication of pathology. | ||
*Positive (the average of the QRS surface above the baseline) QRS deflection in lead I: the electrical activity is directed to the left (of the patient) | *Positive (the average of the QRS surface above the baseline) QRS deflection in lead I: the electrical activity is directed to the left (of the patient) | ||
*Positive QRS deflection in lead AVF: the electrical activity is directed down. | *Positive QRS deflection in lead AVF: the electrical activity is directed down. | ||
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#In case of ventricular hypertrophy, the axis will deviate toward the greater electrical activity and the vector will turn toward the hypertrophied tissue. | #In case of ventricular hypertrophy, the axis will deviate toward the greater electrical activity and the vector will turn toward the hypertrophied tissue. | ||
#Infarcted tissue is electrically dead. No electrical activity is registered and the QRS vector turns away from the infarcted tissue | #Infarcted tissue is electrically dead. No electrical activity is registered and the QRS vector turns away from the infarcted tissue | ||
#In conduction problems, the axis deviates too. When the right ventricle depolarizes later than the left ventricle, the axis will turn to the right (RBBB). This is because the right ventricle will begin the contraction later and therefore will also finish later. In a normal situation the vector is influenced by the left ventricle, but in RBBB only the right ventricle determines | #In conduction problems, the axis deviates too. When the right ventricle depolarizes later than the left ventricle, the axis will turn to the right (RBBB). This is because the right ventricle will begin the contraction later and therefore will also finish later. In a normal situation the vector is influenced by the left ventricle, but in RBBB only the right ventricle determines it. | ||
{{clr}} | {{clr}} | ||
==Left axis deviation== | ==Left axis deviation== | ||