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20 Possible Causes for Chest Pain, Left Axis Deviation, Low-Voltage Electrocardiogram

  • Cardiac Amyloidosis

    Electrocardiogram depicted low voltage in limb leads and a prolonged PR interval.[ncbi.nlm.nih.gov] The usual cardiac symptoms noted in patients with amyloidosis include dyspnea, peripheral edema, and palpitations secondary to arrhythmias.(1) Chest pain secondary to myocardial[ncbi.nlm.nih.gov] On the electrocardiogram, however, there are no signs of LV hypertrophy and the recorded voltage is low.[omicsonline.org]

  • Chronic Obstructive Pulmonary Disease

    Pleuritic chest pain and cardiac failure were more frequently reported in patients with unexplained AE-COPD and PE.[ncbi.nlm.nih.gov] For people with COPD, symptoms such as coughing, chest pain, and frequent nighttime urination may profoundly impact sleep.[sleepfoundation.org] Symptoms and signs may include: Fatigue Dyspnea Paroxysmal nocturnal dyspnea (PND) Chest tightness Wheezing Cough with sputum (mucoid and/or purulent) Fever Chest pain Workup[symptoma.com]

  • Acute Myocarditis

    Cine sequences in three long axes and a stack of short-axis views covering the left and right ventricle were analyzed using a dedicated feature tracking algorithm.[ncbi.nlm.nih.gov] Arrhythmias were associated with low voltages on the electrocardiogram (14 of 34, 41% vs 6 of 47, 13%; odds ratio [OR] 4.78, 95% confidence interval [CI] 1.60 to 14.31) and[ncbi.nlm.nih.gov] Myocarditis should be considered in all patients presenting with acute onset chest pain and elevated cardiac biomarkers.[ncbi.nlm.nih.gov]

  • Myocardial Infarction

    Response to ECG Challenge This ECG shows sinus rhythm with left-axis deviation in the frontal plane (left anterior hemiblock) with notches in the S wave, a broad R S in V[circ.ahajournals.org] Pain Choice trial: a pilot randomized trial of a decision aid for patients with chest pain in the emergency department.[dx.doi.org] A computer protocol to predict myocardial infarction in emergency department patients with chest pain. N Engl J Med 1988 ; 318 : 797 –803. 3.[doi.org]

  • Cardiomyopathy

    Biatrial enlargement Left ventricular hypertrophy or biventricular enlargement Left bundle branch block ( RBBB can also occur). Left axis deviation.[lifeinthefastlane.com] You develop chest pain, palpitations, faintness, or other new or unexplained symptoms.[medlineplus.gov] pain, especially after physical exertion or heavy meals; and heart murmurs .[web.archive.org]

  • Obesity

    axis deviation Flattening of the T wave (inferolateral leads) Left atrial abnormalities False positive criteria for inferior myocardial infarction Echocardiography In times[dx.doi.org] It may be of low voltage because of the excess overlying tissue and as such might underestimate the severity of ventricular hypertrophy.[bja.oxfordjournals.org] Narrowed arteries and reduced blood flow to the heart can cause chest pain ( angina ) or a heart attack.[stanfordhealthcare.org]

  • Sinus Tachycardia

    His electrocardiogram showed a wide QRS tachycardia with a heart rate of 140 beats/min, a left bundle branch block pattern and low voltage in leads I, aVL, V5 and V6.[ncbi.nlm.nih.gov] It usually presents with classic symptoms, such as severe tearing chest pain radiating to the back associated with acute hemodynamic compromise.[ncbi.nlm.nih.gov] axis deviation, ectopic focus that alternates between the anterior superior and posterior inferior fascicles, and a right bundle branch block pattern in lead V 1 ; seen in[medical-dictionary.thefreedictionary.com]

  • Dilated Cardiomyopathy

    Biatrial enlargement Left ventricular hypertrophy or biventricular enlargement Left bundle branch block ( RBBB can also occur). Left axis deviation.[lifeinthefastlane.com] […] and low voltage.[en.wikipedia.org] Serum cardiac markers are measured if acute symptoms or chest pain is present.[merckmanuals.com]

  • Infiltrative Cardiomyopathy

    Sinus tachycardia at 112 bpm, frequent premature ventricular contractions and 1.0 mm ST depression in V6, left axis deviation, left atrial enlargement, poor R-wave progression[centrallakesclinic.biz] An electrocardiogram showed diffuse low voltage QRS complexes [Figure 1].[ijpmonline.org] pain, and irregular heartbeats.[dovemed.com]

  • Dextrocardia

    Axis Deviation?[malacards.org] voltage in V4 to V6; extreme QRS axis; flattened T waves in V4 to V6 and aVR; and inverted T waves in lead I and aVL.[ncbi.nlm.nih.gov] pain under exercise.[ncbi.nlm.nih.gov]

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