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What could be done to manage a left axis deviation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My ECG report showed left axis deviation, left anterior fascicular block, and prolonged QT interval. Is this an abnormal ECG? What kind of health issue I am having? I am a 48-year-old female. Also, I have been diabetic for four years. Please guide.

Thank you.
Answered by Dr. Rishu Sharma

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

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Hi,

Welcome to icliniq.com.

Left ventricular hypertrophy (a condition in which there is an increase in left ventricular mass, either due to an increase in wall thickness, left ventricular cavity enlargement, or both) is the most important cause of left axis deviation and left anterior fascicular block. Hypertension (high blood pressure) can very often result in left ventricular hypertrophy causing left axis deviation. QT prolongation can be because of many medications. Are you hypertensive? Are you taking any medicines for diabetes? QT can be prolonged because of the effects of those medicines.

Get a serum electrolyte test done. You should attach the ECG copy to look at the anomalies and the medicine's name. If left axis deviation is there, 2D echocardiography should be done to rule out left ventricle hypertrophy.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At December 1, 2016
Reviewed At September 24, 2024

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rishu Sharma
Dr. Rishu Sharma

Cardiology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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