Dr. Ilir Sharka
FACULTY OF MEDICINE, UNIVERSITY OF TIRANA., POST-GRADUATION RESIDENCY CARDIOLOGY, DEPARTMENT OF CARDIOLOGY,
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I reviewed carefully your ECG images (attachment removed to protect patient identity) and would explain that besides right axis deviation, I also noticed the presence of prominent P waves in DII lead, which indicates a pattern or left the posterior fascicular block. For this reason, I would recommend performing a cardiac ultrasound to examine the heart and exclude possible structural abnormality.
Regarding the tingling, I would also recommend checking the thyroid hormone levels and blood electrolytes for possible imbalance. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need.
The Probable causes:
cardiac structural abnormality.Investigations to be done: