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- W2109307863 abstract "The ECGs of 473 infants under the age of 3 months who were referred to a paediatric cardiological unit were analysed; 47 (10%) of the ECGs showed a superior axis (dominantly negative deflection S wave, in lead aVF). Of these, the majority of noncyanosed patients with plethora on chest <i>x</i>-ray proved to have either an atrioventricular canal defect or a large ventricular septal defect. When cyanosis and pulmonary plethora on <i>x</i>-ray were present, tricuspid atresia with increased pulmonary flow (types Ic or IIc) or d-transposition with ventricular septal defect accounted for most cases. With cyanosis and pulmonary oligaemia on <i>x</i>-ray, tricuspid atresia (types Ia and b) or pulmonary atresia with ventricular septal defect accounted for all cases. Finally, 2 patients with superior axis presenting in a shocked condition were found to exhibit the hypoplastic left heart syndrome. Recognition of superior axis in the ECG provides a useful diagnostic aid in congenital heart disease in early infancy." @default.
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- W2109307863 date "1974-09-01" @default.
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- W2109307863 title "Differential diagnosis of congenital heart disease in the first 3 months of life: Significance of a superior (left) QRS axis" @default.
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- W2109307863 doi "https://doi.org/10.1136/adc.49.9.729" @default.
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