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EKG — determining axis


EKG, determining axis:

  • Picture the 6 line diagram, with Lead 1 pointing to the right and lead F pointing to the bottom
  • 0 to -90 is left axis deviation (LAD)
  • 0 to +90 is normal axis
  • +90 to +180 is right axis deviation (RAD)
  • -30 is positive for lead L
  • 00 is positive for lead 1
  • -30 is positive for lead R
  • +60 is positive for lead 2
  • +90 is positive for lead F
  • +120 is positive for lead 3
  • +210 is positive for lead R
  • Vectors are displaced toward hypertrophy and away from infarction
  • If the septal transition shifts toward V1, that is counterclockwise rotation
  • If the septal transition shifts toward V6, that is clockwise rotation

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