Rightward deviation of the electrocardiogram’s electrical axis is defined as a range of the electrical axis between plus 90 degrees and plus 180 degrees, and is seen in both physiologic and pathologic conditions.
EKG eccentricity can also be related to body size, such as tall and thin, which is a physiologic factor. For example, people who are tall and thin may have a rightward deviation of the electrocardiogram, which is normal and nothing to worry about.
In pathological cases, right deviation of EKG is common in patients with organic heart disease, such as coronary angina pectoris, myocardial infarction, myocarditis, heart valve disease, hypertrophic cardiomyopathy, chronic obstructive pulmonary disease, pulmonary embolism, or right ventricular hypertrophy caused by congenital heart disease or rheumatic heart disease, all of which may have right deviation or extreme right deviation of the EKG.
Therefore, when the electrocardiogram is found to have a right deviation of the electrocardiogram axis, it is necessary to further examine the cardiac ultrasound and related laboratory tests, and then determine the cause of the disease in conjunction with the patient’s medical history, and take active treatment measures. Specific treatment should be in accordance with the doctor’s instructions.