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Causes of Axis Deviation

This list covers common causes of right and left axis deviation.

LeftRight
  • Normal variation
  • Inferior wall myocardial infarction (MI)
  • Left anterior hemiblock
  • Wolff–Parkinson–White syndrome
  • Mechanical shifts (ascites, pregnancy, tumors)
  • Left bundle-branch block
  • Left ventricular hypertrophy
  • Aging
  • Normal variation
  • Dextrocardia
  • Lateral wall MI
  • Left posterior hemiblock
  • Right bundle-branch block
  • Emphysema/COPD
  • Acute pulmonary embolism
  • Right ventricular hypertrophy
  • Hyperkalemia
  • Ventricular rhythm disturbances (ventricular tachycardia, accelerated idioventricular)