What could be done to manage a left axis deviation?

Question

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.

Answer 1

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.