QRS Axis Deviation

Follow Up Required

Your child participated in a cardiac screening with Who We Play For. An ECG was performed and reviewed by a licensed Cardiologist with specific training on reading ECGs according to the International Criteria.

Initial findings of that ECG indicate that secondary testing is necessary.

What does it mean to have an abnormal ECG?

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Abnormal ECG Flag

  • Being flagged with an abnormal from the WWPF Medical Advisory team means our pedicatric cardiologist who reviewed the electrocardiogram (ECG) saw something that matches an abnormality. This does not mean with 100% certainty that there is an abnormality, but additional follow up should be done in order to ensure nothing is wrong.

  • It is recommended by the WWPF Medical Advisory Team to receive follow up care within 90 days of an abnormal flag. The person can continue to participate in activities as long as they are symptom free.

  • If there was an abnormal flag on an ECG the following symptoms would be cause for immediate medical attention:

    • Fainting or seizures during or immediately following exercise.

    • Unexplained shortness of breath.

    • Dizziness.

    • Extreme fatigue.

    • Racing heart (feels like it is beating out of your chest).

    • Sudden and unexplained death of a family member under the age of 50.

    If you experience any of these symptoms get an appointment with a pediatric cardiologist right away.

What is QRS Axis Deviation?

The axis of the QRS complex is greatly dependent on age: it begins rightward at birth and shifts leftward with age. Since your child is at an age when the axis is still in transition, right-axis deviation is a common finding, with some studies finding as high as 20%.

In athletes, mild right- or left-axis deviation will trigger further evaluation if there is a history of pulmonary disease or systemic hypertension, respectively. Additionally, if any athletes, range is outside -30 to +115 degrees for isolated axis deviation, he or she needs to get secondary testing with a Cardiologist.

Diagnosis:

QRS Axis: More left than -30 degrees. More right than 115 degrees.

Family History: Review family history.

Consult: Pediatric Cardiologist

Secondary Test Might Include:

  • Echocardiogram

  • Cardiac MRI

  • Stress Test

Your child can continue to participate in the current sports season within school/orgnaization guidelines, but should seek the advice of a Cardiologist for a more detailed examination.

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