Optimal electrocardiographic limb lead set for rapid emphysema screening
Author(s) -
Lovely Chhabra,
Bajaj,
Basheer,
Spodick
Publication year - 2013
Publication title -
international journal of copd
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.394
H-Index - 67
eISSN - 1178-2005
pISSN - 1176-9106
DOI - 10.2147/copd.s37776
Subject(s) - medicine , lead (geology) , cardiology , p wave , electrocardiography , geomorphology , geology , atrial fibrillation
Pulmonary emphysema of any etiology has been shown to be strongly and quasidiagnostically associated with a vertical frontal P wave axis. A vertical P wave axis (>60 degrees) during sinus rhythm can be easily determined by a P wave in lead III greater than the P wave in lead I (bipolar lead set) or a dominantly negative P wave in aVL (unipolar lead set). The purpose of this investigation was to determine which set of limb leads may be better for identifying the vertical P vector of emphysema in adults.
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