Document Detail


The significance of pronounced left axis deviation in the presence of right bundle branch block.
MedLine Citation:
PMID:  5771597     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The histories of 117 patients with left axis deviation and complete right bundle branch block (rbbb) on the electrocardiogram were reviewed for evidence of clinical cardiac disease, hypertension or emphysema. One hundred fifty-four patients with complete right bundle branch block alone served as controls. The incidence of coronary artery disease (myocardial infarction or angina) was significantly greater in the group with pronounced left axis deviation; the other factors evaluated showed no significant difference between the two groups. Pronounced left axis deviation of the mean qrs axis is associated with a high prevalence of clinical coronary artery disease. The presence of complete right bundle branch block does not alter their relationship. Some patients with complete rbbb, or with rbbb and pronounced left axis deviation, have no clinical evidence of heart disease.
Authors:
J B McClenahan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  California medicine     Volume:  110     ISSN:  0008-1264     ISO Abbreviation:  Calif Med     Publication Date:  1969 May 
Date Detail:
Created Date:  1969-07-06     Completed Date:  1969-07-06     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0410260     Medline TA:  Calif Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  378-82     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Bundle-Branch Block / diagnosis*
Coronary Disease / diagnosis*
Female
Humans
Male
Middle Aged
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