The fourth step is interpreting the QRS complex (representing depolarisation of the ventricles), which has several sub-steps. First, consider the cardiac axis. The wave of depolarisation spreads in multiple directions through the ventricles. The differing magnitudes and directions of the various depolarisation currents can be “summed” to form a resulting electrical vector, which is known as the cardiac axis.
If we consider the heart in the coronal plane (using the limb leads), an abnormal axis is outside -30 to +90 degrees. What are the steps to determining the cardiac axis?
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