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What Does Left Axis Deviation From ECG Suggest?
A 54-year-old Type-A male business executive had been experiencing migrainelike headaches. One afternoon he also experienced light-headedness, slurred speech and mildly impaired motor function on his right side. One of his colleagues rushed him to the emergency room of a nearby hospital where blood pressure, blood gases, electrolytes, and an ECG were run. His blood pressure was 195/100 mm Hg, which he said was typical of what he had experienced during the past two years. Blood gases and electrolytes were normal. The ECG showed no arrhythmias but did demonstrate a left axis deviation. The gentleman was admitted to the hospital and a cerebral angiogram was performed which showed left cerebral hemorrhaging. 1. What is the diagnosis of this individual s disorder?2. What are the major contributing factors to this disorder?3. What could have been done to prevent this problem?4. What are the early warning symptoms prior to the complication?5. Why did the ECG show a left axis deviation?6. Why was there impaired motor function on the right side from cerebral hemorrhaging on the left side?
Thu, 18 Oct 2018
Hello,
The patient has had a left cerebral haemorrhage. The left side of the brain controls the right side of the body.
Therefore the haemorrhage on the left side of the brain affects the right side of the body. A high blood pressure is probably the cause of the haemorrhage in this case.
A normal BP is 120/80. So, of course, the BP was high for him. And this may have resulted in the haemorrhage.
The recovery depends on the size of haemorrhage, the age of the patient, the deficit in the first place, the location of the haemorrhage and control of BP among several other factors.
A control of BP previously by regular check-up may have prevented the condition. A headache may have been a common symptom that he may develop.
However very frequently there is no preceding symptom. The ECG findings suggest that hypertension was starting to affect the heart chambers as well.
The heart was probably starting to remodel itself in view of the blood pressure changes.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Saumya Mittal , Diabetologist
The patient has had a left cerebral haemorrhage. The left side of the brain controls the right side of the body.
Therefore the haemorrhage on the left side of the brain affects the right side of the body. A high blood pressure is probably the cause of the haemorrhage in this case.
A normal BP is 120/80. So, of course, the BP was high for him. And this may have resulted in the haemorrhage.
The recovery depends on the size of haemorrhage, the age of the patient, the deficit in the first place, the location of the haemorrhage and control of BP among several other factors.
A control of BP previously by regular check-up may have prevented the condition. A headache may have been a common symptom that he may develop.
However very frequently there is no preceding symptom. The ECG findings suggest that hypertension was starting to affect the heart chambers as well.
The heart was probably starting to remodel itself in view of the blood pressure changes.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Saumya Mittal , Diabetologist
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