CC BY-NC-ND 4.0 · Indian J Cardiovasc Dis Women WINCARS 2021; 06(01): 071-077
DOI: 10.1055/s-0041-1728180
Expert's Opinion

ECG—An Axis Dilemma with Tachycardia

1  Department of Medicine, Apollo Clinic, Rajouri Garden, New Delhi, India
2  R. G. Stone Urology and Laparoscopic Super Speciality Hospital, New Delhi, India
3  Sai Health Care Centre, Rajouri Garden, New Delhi, India
4  B. L. K. Super Speciality Hospital, New Delhi, India
,
Soma sekhar
5  Department of Electrophysiology, Aayush Hospital, Vijayawada, Andhra Pradesh, India
,
Amit Munjal
6  Department of Cardiology, Maharaja Agrasen Medical College (MAMC), Agroha , Hisar, India
,
S. K. Datta
7  Department of Cardiology, Venkateshwara Hospital, Delhi, India
,
Sharada Sivaram K.
8  Department of Cardiology, Meenakshi Medical College Hospital and Research Institute, Tamil Nadu, India
,
Sridevi Chennapragada
9  Department of Cardiology, Asian Institute of Gastroenterology Hospital, Hyderabad, India
› Author Affiliations

Abstract

Cardiac arrhythmias are common in acute myocardial infarction (MI), especially in ST elevation MI. Almost 90% of patients develop some form of cardiac arrhythmia in acute MI. Mostly they are benign and transient. Incidence of atrial tachycardia is fairly uncommon in such setting. Most of the arrhythmias disappear after reperfusion. Interpretation of electrocardiograms (ECGs) in emergency becomes even more difficult if there is unusual QRS axis and possibility of arm lead reversal.



Publication History

Publication Date:
09 April 2021 (online)

© 2021. Women in Cardiology and Related Sciences. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India