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I went for a medical with a private dr for life insurance and dr said my ecg was abnormal as i had left axis deviation? Does anyone know what this is and do i need to see my usual gp about it?
Also he would not say if i would be able to get life insurance or not. I am in my forties and in good health

2007-08-19 21:03:43 · 6 answers · asked by sunnyday 1 in Health Diseases & Conditions Heart Diseases

6 answers

lizsie,

It might mean that you are fine.

An ECG reads only how the heart's electrical system works. It's a very useful tool for diagnosis, but it is only one tool, and is normally a first test because it is easy, cheap, catches a lot for the ease of use, but being a test easy and cheap there's a lot that it does not catch.

Any finding on an ECG that points to a condition other than a purely electrical one (like Sick Sinus Syndrome) should be checked with further tests.

Now, the normal 12-lead ECG performs two basic kinds of findings: one is the raw data, the trace that we're all familiar with, the "PQRST" (sounds almost like a Roman legion's standard, doesn't it?) bumps and lines, but it also shows an "axial deviation." This one is harder to read and we need training to see it.

There are actually four axes on a tracing: left, right, up, and down, and they all mean something a bit different, even if an opposite deviation means only the same condition exists on the other side of the heart.

To oversimplify it, the axial finding shows in which direction the electrical impulse flows in the heart. The electrical impulse will most of the time flow right to left and top to bottom. This makes sense since the impulse starts in the sinus node, high in the right atrium and ends low in the left ventrical (just slightly after the right ventrical, and not by much).

It will also flow toward a thicker part of the heart, so if there's hypertrophy, it will tend to run in that direction.

This means, of course, that a left axis deviation could mean that your heart is completely normal, since that's the way the impulse flows in a healthy heart. A healthy heart will always have a deviation toward the lower left quadrant of the vector diagram used in diagnosis.

This also means that if the doctor said that your ecg was "abnormal," there must be something else in the ECG that he's not talking about, assuming that he was right.

I say "assuming" because there are clinical conditions that will cause a left axis deviation: true hypertrophy of the left ventrical, a problem with the nerves in the left side of the heart, or an infarct (a heart attack) on the right side. The axial deviation will always be toward a hypertrophy and away from an infarct. But I would think that in most cases you would have felt something to make you go to the doctor if that were the case.

So, since you went there for life insurance reasons, you didn't go because you have symptoms, right? Then you might have been given somewhat misleading information because the description can mean that your heart is fine.

I would get a second opinion if I were you. Take your ECG tracing--it's yours, right?--and show it to your GP. If he wants to refer it to a cardiologist for a more accurate reading, he will. Since this is about insurance, it would be worth your time and money, I would think.

Good luck.

2007-08-20 14:43:55 · answer #1 · answered by eutychusagain 4 · 0 0

Left Axis Deviation (LAD) - Insurance coverage is possible depending on the cause of the deviation.

If you go through a cardiac workup, and the LAD is isolated with no other cardiovascular abnormalities, you should be able to get coverage with no problems.

If the LAD is caused by an underlying cardiac issue such as hypertension, left bundle branch block, left anterior hemiblock, or myocardial infarction, the rates would depend on what the issue is.

2007-08-20 15:37:22 · answer #2 · answered by Anonymous · 0 0

It could be normal but rare.
Left axis deviation occurs when additional electrical forces move to the left (hypertrophy), or when the time required for the electrical activity to move over the ventricle is prolonged (LBBB, left ventricular dilation).

Causes of left axis deviation include hypertension, aortic stenosis or regurgitation, subaortic stenosis, mitral regurgitation, and left ventricular conduction defects.

These are different diagnosis for left axis deviation : Left Ventricular Hyperthrophy, left anterior fascicular block, inferior wall Myocard Infarction.

I will get second oppinion if i were you.
About your insurance, in my experiance some good doctor'll do another test to make sure wether your condition normal or not.

Well, good luck.

2007-08-20 01:42:45 · answer #3 · answered by . 6 · 0 0

Left axis deviation is one of the most commonly encountered ECG abnormalities. Its presence should alert medical directors and underwriters to the possibility of underlying structural heart disease. Many of the causes of left axis deviation are apparent from the clinical findings. Left anterior fascicular block is one of the commonest causes of left axis deviation and has specific ECG criteria for its diagnosis.

The new doctor has alarmed you for nothing or probably for extracting more money and to treat you. I suggest to contact your General Physician and he would give you the certificate for taking insurance. - Please refer the weblink given in the source below, which answers your question fully.-

2007-08-19 21:32:04 · answer #4 · answered by Jayaraman 7 · 1 0

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2016-12-30 20:03:28 · answer #5 · answered by holtjr 3 · 0 0

u have to check ur ECG level u can view this web site

2007-08-20 03:34:46 · answer #6 · answered by gopalakrishnan s 3 · 0 0

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