Abstract
1 — 1968 yılında 1. İç Hastalıkları Klinginde çekilen elektrokardiyogramlar arasında sol aksis deviyasyonu bulunan hastaların yaş ve klinik tanıları incelenerek bu EKG anomalisinin klinik önemi araştırıldı.
2 — Sol aksis deviyasyonu, çekilen elektrokardiyogramların Sp 8. 3 ünde bulunmuş, bu EKG anomalisi kalb hastalıkları insidansının genellikle yüksek olduğu ileri yaşlarda daha sık tespit edilmiştir.
3 — Sol aksis deviyasyonu gösteren kimselerde yüksek nispette atherosklerotik kalb hastalığı bulunmuştur. Hipertansiyon, aort darlık ve yetmezliği, mitral yetmezliği, kongenital kalb hastalığı gibi organik kalb hastalıkları ve cor pulmonale, nefrit, hipertiroidi gibi kalb musabiyeti yapan hastalıklar topluca, sol aksis deviyasyonu
vakalarının o 86 sı nispetinde idi. Vak'aların sadece 9ç 14 ünde (25) vak'a) kardiyovasküler sistem dışı hastalıkları tespit edilmiştir.
4 — Sonuç olarak sol aksis deviyasyonu bulunmasının o vak'- ada kuvvetle organik bir kalb hastalığı düşündürmesi gerektiği kanaatına varılmıştır,
References
- 1 — HISS,R.G, LAMB,L.E. ALLEN, M. E.: Electrocardtographie findings in 67 357 asymptomatic subjects. X. Normal Values, Am. J. Cardlol. 6; 200, 1960.
- 2 — GRANT,R.P.: The relationship between the anatomic position of the heart and the electrocardiogram, circulation, 7: 890, 1953.
- 3 — GORMAN,P. A, CALATAYUD, J.B., ABRAHAM, 5, CACERES,C.A.: Effects of age and heart disease on the GRS axis during the seventh through the tenth decades, Am. Heart J. 67: 39, 1964,
- 4-GRANT.R.P.: Left axis deviatlon: An electocardiographic correlatlon Study, circulation, 14: 233, 1956.
- 5-DAVİES, H., EVANS, N.: The significance of deep S waves in leadsII and TII, Brit. Heart J., 22: 551, 1960.
- 6-CORUE,R. A,, PARKİN, T. W. BRANDENBURG.R.D.. BROWN, A.L. : Significance of marked left axis deviziion : Electrocardiographi opathologic correlative study, Am. J. Cardiol. 15 : 605, 1965.
- 7-PRYOR, R., BLOUNT, S. G.: 'fhe clinical significance of true left axis deviatlon. Am. Heart J. 72: 391, 1966.
- 8-BANTA, H. D., ESTES, E. H.: Electrocardiographic and vectorcardiographic findings in patients with idiopathic myocardial hypertrophy, Am. J. Cardiol, 14: 218, 1964.
- 9-SAMSON, W. E. SRUCE,R. A.: Left Ventrikular parletal block produced by transventricular aortik Commissurotomy. Am. Heart. J. 63: 41, 1962.
- 10-UHLEY, H.N. RİVKİN,L.M.: Electrocardlographic patterns following interruptlon of the main and peripheral branches of the canine left bundle of His. Am. J. Cardlol. 13: 41, 1964.
- 11-WATT, T. B., Jr. MURAO, S, PRUİTT, R.D.: Left axis deviation induced experlmentally in a primate heart, Am. J. 70: 381, 1965.
Abstract
1 — With the purpose of investigation of the clinical significance of electrocardiographic left axis deviation (LAD) in frontal plane, we studied all the electrocardiograms so far taken in 1968 in Ist. Medicine Department, Medical School of Ankara.
2 — The incidence of left axis deviation has been found to be 8.3 %of all the electrocardiograms. This incidence was higher among advanced ages at which the incidence of heart disease was expected to be high.
3 — Atherosclerotic heart disease was most common in patients with left axis deviation. The incidenc of organic herat disease inc- luding atherosclerotic heart disease, hypertension, aortic stenosis and insufficieney, mitral insufficieney and the other diseases involing the heart like cor pulmonale, nephritis and hyperthyroidism; was totaled to 86 <4 In only 14 “6 of the cases with left axis deviation, no manifest cardiovascular involvement could be detected.
4 — ıt has been concluded that the presence of left axis deviation should strongly suggest an organic heart disease.
References
- 1 — HISS,R.G, LAMB,L.E. ALLEN, M. E.: Electrocardtographie findings in 67 357 asymptomatic subjects. X. Normal Values, Am. J. Cardlol. 6; 200, 1960.
- 2 — GRANT,R.P.: The relationship between the anatomic position of the heart and the electrocardiogram, circulation, 7: 890, 1953.
- 3 — GORMAN,P. A, CALATAYUD, J.B., ABRAHAM, 5, CACERES,C.A.: Effects of age and heart disease on the GRS axis during the seventh through the tenth decades, Am. Heart J. 67: 39, 1964,
- 4-GRANT.R.P.: Left axis deviatlon: An electocardiographic correlatlon Study, circulation, 14: 233, 1956.
- 5-DAVİES, H., EVANS, N.: The significance of deep S waves in leadsII and TII, Brit. Heart J., 22: 551, 1960.
- 6-CORUE,R. A,, PARKİN, T. W. BRANDENBURG.R.D.. BROWN, A.L. : Significance of marked left axis deviziion : Electrocardiographi opathologic correlative study, Am. J. Cardiol. 15 : 605, 1965.
- 7-PRYOR, R., BLOUNT, S. G.: 'fhe clinical significance of true left axis deviatlon. Am. Heart J. 72: 391, 1966.
- 8-BANTA, H. D., ESTES, E. H.: Electrocardiographic and vectorcardiographic findings in patients with idiopathic myocardial hypertrophy, Am. J. Cardiol, 14: 218, 1964.
- 9-SAMSON, W. E. SRUCE,R. A.: Left Ventrikular parletal block produced by transventricular aortik Commissurotomy. Am. Heart. J. 63: 41, 1962.
- 10-UHLEY, H.N. RİVKİN,L.M.: Electrocardlographic patterns following interruptlon of the main and peripheral branches of the canine left bundle of His. Am. J. Cardlol. 13: 41, 1964.
- 11-WATT, T. B., Jr. MURAO, S, PRUİTT, R.D.: Left axis deviation induced experlmentally in a primate heart, Am. J. 70: 381, 1965.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 31, 1968 |
| IZ | https://izlik.org/JA76GS62KT |
| Published in Issue | Year 1968 Volume: 21 Issue: 4 |