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42 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.[esciencecentral.org]

  • Cardiomyopathy

    Biatrial enlargement Left ventricular hypertrophy or biventricular enlargement Left bundle branch block ( RBBB can also occur). Left axis deviation.[lifeinthefastlane.com] The typical symptoms of stress cardiomyopathy include sudden-onset chest pain and breathlessness or collapse as well as classical symptoms of cardiovascular disease; however[ncbi.nlm.nih.gov] What Conditions Are Associated with Chest Pain? There are numerous conditions associated with chest pain.[emedicinehealth.com]

  • Chronic Obstructive Pulmonary Disease

    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] For people with COPD, symptoms such as coughing, chest pain, and frequent nighttime urination may profoundly impact sleep.[sleepfoundation.org] […] feels tight or “full” (call 911 immediately if you have chest pain or severed chest tightness) Some trouble with daily activities Trouble concentrating No appetite Feeling[intermountainhealthcare.org]

  • Ischemic Cardiomyopathy

    A 65-year-old patient with history of ischemic cardiomyopathy admitted to the hospital for chest pain and subsequently experienced incessant ventricular fibrillation (VF),[ncbi.nlm.nih.gov] In this patient the VT had a right bundle-branch block and left axis deviation morphology (Belhassen morphology). The VT responded well to verapamil therapy.[casesjournal.biomedcentral.com] In the absence of coronary artery obstruction, it mimics acute myocardial infarction with chest pain and typical electrocardiography changes.[ncbi.nlm.nih.gov]

  • Arrhythmogenic Right Ventricular Dysplasia

    PLN mutation carriers have ARVD/C characteristics, including important right ventricular involvement, and additionally more often low-voltage electrocardiograms, inverted[ncbi.nlm.nih.gov] In most cases, patients with ARVD are young men who present with chest pain or palpitations.[symptoma.com] left axis deviation pattern.[ncbi.nlm.nih.gov]

  • Ventricular Fibrillation

    After a few seconds the electrocardiogram changes into a new pattern of low-voltage, irregular waves.[symptoma.com] A 33-year-old man presented with waxing and waning severe substernal chest pain.[ncbi.nlm.nih.gov] In this patient the VT had a right bundle-branch block and left axis deviation morphology (Belhassen morphology). The VT responded well to verapamil therapy.[casesjournal.biomedcentral.com]

  • Infiltrative Cardiomyopathy

    An electrocardiogram showed diffuse low voltage QRS complexes [Figure 1] .[ijpmonline.org] pain, and irregular heartbeats.[dovemed.com] 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]

  • Hypertrophic Cardiomyopathy

    ECG: Findings also may include right or left axis deviation, conduction abnormalities, sinus bradycardia with ectopic atrial rhythm and atrial enlargement.[patient.info] In some case the degree and the distribution of hypertrophy may resemble HCM, however LV hypertrophy together with the evidence of low voltage at electrocardiogram help in[cardiovascularultrasound.biomedcentral.com] Apical HCM can lead to drug-refractory chest pain.[ncbi.nlm.nih.gov]

  • Left Ventricular Hypertrophy

    voltage on the surface electrocardiogram (16) .[onlinejacc.org] pain patient.[ncbi.nlm.nih.gov] […] atrial involvement - terminal deflection of P wave in V1 is 1 box wide, and 1 box deep or more (3 points) Left axis deviation - QRS axis is -30 degrees or more negative ([merckmanuals.com]

  • Peripartum Cardiomyopathy

    Electrocardiogram showed sinus rhythm, low voltage and negative T-waves in inferior and lateral leads.[ncbi.nlm.nih.gov] The most commonly reported symptoms were extreme shortness of breath, orthopnea, tachycardia, palpitations, chest pain, cough, and edema.[ncbi.nlm.nih.gov] An ECG showed left axis deviation with left bundle branch block. A chest radiograph showed pulmonary oedema and an increased cardiothoracic ratio (fig 1).[emj.bmj.com]

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