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What does this EKG report indicate?

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Posted on Mon, 8 Aug 2016
Question: Hello quick question can left axis deviation be a sign of diastolic dysfunction as i have both
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Answered by Dr. Ronald Schubert (11 minutes later)
Brief Answer:
EKG abnormalities

Detailed Answer:
Thank you for contacting HCM with your health care concerns.

You had a recent EKG which showed left axis deviation and diastolic dysfunction. THe left axis deviation is probably a over reading by the computer. It is common for computers to over read an EKG and call a left axis deviation from lead placement or from body habitus. It really only means something in the situation of a heart attack or from heart failure. Since you have neither then this is an over reading. The diastolic dysfunction is a new term and means the heart is not completely resting during the diastolic phase. It maybe stress induced or from hypertension. There are treatments but I would only recommend treatment if an echocardiogram showed significant dysfunction.

I hope I answered your question. Please contact us again if you have any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ronald Schubert (26 minutes later)
Thank you for the great answer. My issue is that in 2012 during excercise i passed out and woke up in the Hospital. My CK levels where 2664, on day 1 in the hospital, 2498 on day 2, and 222 on day 3 and my troponin levels where 1,020 on day 1, 1,250 on day 2 and 0.469 on day 3. During the ekg i was told i have left axis deviation and a couple years later i was told through a heart ultrasound i have diastolic dysfunction i just want to know if an original case of left axis deviation could be an indicator of diastolic dysfunction.
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Answered by Dr. Ronald Schubert (3 minutes later)
Brief Answer:
Left axis deviation and diastolic dysfunction

Detailed Answer:
In my practice I see this happen a lot. the left axis deviation and diastolic dysfunction maybe related to over exercise. When you over work your heart liek during training or other extremely physical sports your heart needs to increase muscle mass and the result are the above listed abnormalities. These are then nothing to be concerned about. I would recommend a more moderate exercise program.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ronald Schubert (6 minutes later)
Thank you what is weird is the day of the ultrasound when i got the diagnosis of diastolic dysfunction i have not excercised for a while to be honest with you sir, this happened during military training and I put a claim with the VA and it was denied because they did not mention the diastolic heart dysfunction in 2013 when i passed out so my real question is can a left axis deviation be an indicator of diastolic dysfunction which in my opinion is the case cause the doctors where more concerned with vfib
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Answered by Dr. Ronald Schubert (1 minute later)
Brief Answer:
Left axis deviation and diastolic dysfunction

Detailed Answer:
Yes the left axis deviation may be an EKG indicator of the diastolic dysfunction
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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What does this EKG report indicate?

Brief Answer: EKG abnormalities Detailed Answer: Thank you for contacting HCM with your health care concerns. You had a recent EKG which showed left axis deviation and diastolic dysfunction. THe left axis deviation is probably a over reading by the computer. It is common for computers to over read an EKG and call a left axis deviation from lead placement or from body habitus. It really only means something in the situation of a heart attack or from heart failure. Since you have neither then this is an over reading. The diastolic dysfunction is a new term and means the heart is not completely resting during the diastolic phase. It maybe stress induced or from hypertension. There are treatments but I would only recommend treatment if an echocardiogram showed significant dysfunction. I hope I answered your question. Please contact us again if you have any additional questions