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Diagnosed With Prediabetis And Mild Fatty Liver. ECG Showed Mild Left Axis Deviation. Is This A Serious Condition?

Posted on Mon, 23 Jul 2012

Question: In January I have done whole body health checkup and diagnosed with prediabetis and mild fatty liver. since then I have changed my life style by working out 1 hour every day but from last one month i am consuming alcohol daily and stopped working out. Yesterday I felt mild pain on my left chest, the pain is at a particular point 1 inch away from left nipple. Today I myself went and done an ECG and I attached the same. ECG report says "mild left axis deviation". Is this a serious condition? What should be my next step?

Answered by Dr. Mayank Bhargava (21 minutes later)

Hi,

Thanks for posting query.

Left axis deviation (LAD) is a condition whereby the mean electrical axis of ventricular contraction of the heart lies in a frontal plane direction between -30° and -90°. This is reflected by a QRS complex positive in lead I and negative in leads aVF and II.

I have seen your ECG tracing and it is normal

I have also seen all you parameters and all are normal.

LAD is present in left ventricular hypertrophy and fascicular block. but your ECG is normal and you don't need to worry as left axis deviation may be a normal variant.

Take care,

Regards,

Dr. Mayank Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mayank Bhargava (2 minutes later)

can you please suggest my further life style, do i need to go for 2D echo? As i told you I am alcoholic do I need to stop it immediately or stop it gradually?

Answered by Dr. Mayank Bhargava (20 minutes later)

Hi,

1) If you are smoker then stop smoking. Smoking increases the risk of heart disease.

2) You are at high risk of developing diabetes, then you should avoid extra carbohydrate intake.

3) Do yoga daily and if overweight, then reduce your weight.

4) You should do 30 minutes brisk walk 5days in a week.

5) Keep all parameters: lipid profile, renal function test, thyroid status

6) Yes, you should go for @ D echo to rule out any ventricular hypertrophy.

7) For an alcoholic person, its very difficult to leave suddenly, you can leave it gradually. Although recent studies says that a glass of red wine is beneficial for heart.

Take Care,

Dr. Mayank Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mayank Bhargava (2 minutes later)

Thank you very much.

Answered by Dr. Mayank Bhargava (5 minutes later)

Thanks XXXXXXX

Get well soon,

Dr. Bhargava

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mayank Bhargava (4 hours later)

is echo needed immediately i am going for a lipid tomorrow, as i am in a remote place i may not get access to echo for next couple of weeks. please suggest, thanks for your time Bhargava.

Answered by Dr. Mayank Bhargava (4 hours later)

Hi,

There is as such no emergency need of 2 D Echo.

You can go for it in future.

Take care,

Dr. Mayank

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar