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LAD is a relatively uncommon finding in the pediatric population but one that Left axis deviation (LAD) in children is rare but may be associated with structural heart disease. The aim of this study is to systematically assess the significance of LAD in the pediatric population. We included studies listed in PubMed, EMBASE, Web of Science, Cochrane databases, and Google Scholar before May 31, 2018 and their reference lists. The electrocardiographic pattern of left axis deviation has been well studied in adult patients and in children with congenital heart disease. There has been, however, no general study of left axis deviation in children with inclusion of non-cardiac conditions which may be associated with this pattern. 2010-06-23 2020-08-01 • Left axis deviation (“north-west axis”) • Right axis deviation, especially >8 years of age • Right atrial enlargement with right axis deviation • Right ventricular conduction delay with right axis deviation • Second- and third-degree atrioventricular block • Right bundle-branch block, left bundle-branch block, Left-axis deviation is when the QRS axis is between -30° and -90º. Moderate left-axis deviation is between -30° and -45°.

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This patient had an inferior wall M.I. in the distant past, and now has pathological Q waves in Leads II, III, and aVF. Left axis deviation (LAD) in children is rare but may be associated with structural heart disease.

Pediatric ecg left axis deviation

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Moderate left-axis deviation is between -30° and -45°. Marked left-axis deviation is from -45° to -90° and is often associated with left anterior fascicular block 1 . Left Axis Deviation = QRS axis less than -30°. Normal Axis = QRS axis between -30° and +90° Right Axis Deviation = QRS axis greater than +90° Extreme Axis Deviation = QRS axis between -90° and 180° (AKA “Northwest Axis”) Left axis deviation. Giant T-wave inversions in the precordial leads. This suggests apical hypertrophy.
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4. Left axis deviation, “north-west axis” can be found online at qtdrugs.org.5. Right axis deviation, especially >8 years of age 11. 6.
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Moderate left-axis deviation is between -30° and -45°. Marked left-axis deviation is from -45° to -90° and is often associated with left anterior fascicular block 1 . • Left axis deviation (“north-west axis”) • Right axis deviation, especially >8 years of age • Right atrial enlargement with right axis deviation • Right ventricular conduction delay with right axis deviation • Second- and third-degree atrioventricular block • Right bundle-branch block, left bundle-branch block, Left axis deviation. Giant T-wave inversions in the precordial leads. This suggests apical hypertrophy. Holter ECG can reveal supraventricular arrhythmias (especially atrial fibrillation), ventricular rhythms, and ventricular tachycardia.