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Clinical Practice
Conduction Block
Electrocardiogram
Left Ventricle
Right Ventricular Hypertrophy
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SIMLIFIED CALCULATION OF MEAN QRS VECTOR (MEAN ELECTRICAL AXIS OF HEART) OF ELECTROCARDIOGRAM
SIMLIFIED CALCULATION OF MEAN QRS VECTOR (MEAN ELECTRICAL AXIS OF HEART) OF ELECTROCARDIOGRAM,P. N. SINGH,M. SAJJAD ATHAR
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SIMLIFIED CALCULATION OF MEAN QRS VECTOR (MEAN ELECTRICAL AXIS OF HEART) OF ELECTROCARDIOGRAM
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P. N. SINGH
,
M. SAJJAD ATHAR
Abstract : Abstract : Abstract : Abstract : In
clinical practice
assessment of the mean QRS axis (MQRSA) provides information related either with hypertrophy of the ventricles or conduction blocks. The method adopted by clinicians i.e. the inspection of the QRS voltage in six of the limb leads has inherent element of subjectivity of approximately 10°. Moreover, in certain condition, when there is ambiguity about differentiation of left axis deviation assessed by inspection method in to either hypertrophy of left ventricles or complete/hemi block of the left bundle branches, accurate measurement of the axis becomes necessary to arrive at the correct diagnosis. Though a formula based on area under R wave and Swave of the same QRS complex has been derived for accurate measurement of axis, considering its use in the computer software, working with ordinary electrocardiograph the only method for accurate measurement of the QRS axis is plotting method i. e. the net voltages in LeadI, and III on their respective axes which is not practicable in clinical settings. Although, calculation of MQRSA by area method gives an accurate assessment of MQRSA, some authors prefer measurement of axis by voltage method, as in cases of the
right ventricular hypertrophy
with a broad Swave calculation of axis by area method may give erroneous results. Hence, to obtain correct measurement of MQRSA, we have derived a simplified formula based on the net voltage of QRS complexes in LeadI and LeadIII. The formula derived is as follows, Tan III
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