An Interesting Medical Discovery

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greeneyes

Lifer
Jun 5, 2018
2,620
13,459
When the doctors talk about "reversal of polarity," do they mean a Left Bundle Block or a Right Bundle Block?

22374.jpg

Or some other electrical axis deviation?

Electrical Right and Left Axis Deviation - StatPearls - NCBI Bookshelf Electrical Right and Left Axis Deviation - StatPearls - NCBI Bookshelf - https://share.google/BdGsJOzzsk1k78fph

When time permits I rotate to the genetic arrhythmias clinic at the hospital, and a strong family history of electrical abnormalities is a potential indication you might want genetic testing for inherited arrhythmias or cardiomyopathy. Could help suggest a management strategy for you and any affected kin.
 
Dec 3, 2021
6,334
56,617
Pennsylvania & New York
@greeneyes
@Waning Embers

Would the bending of the spine suggest that pressure on a nerve might be alleviated in that position that could be causing the abnormality? The description sounds like something is getting pinched when the spine is straight. It makes me wonder if a nerve needs clearance and some kind of corrective procedure could achieve this.
 

greeneyes

Lifer
Jun 5, 2018
2,620
13,459
@greeneyes
@Waning Embers

Would the bending of the spine suggest that pressure on a nerve might be alleviated in that position that could be causing the abnormality? The description sounds like something is getting pinched when the spine is straight. It makes me wonder if a nerve needs clearance and some kind of corrective procedure could achieve this.
Can't say for certain but if you read waaaaay down in the link I posted, it suggests that mechanical pressures such as the diaphragm pressing upward (like when you're in a fetal position) might cause this. In that sense it might be an "artifact" of the measurement and not necessarily a "cure" ... like with everything there are nuances but it's tough to guess without seeing the ECG itself or knowing the diagnosis.

In the interventricular septum there is "wiring" that bifurcates left and right to serve the left and right ventricles. Lesions in either branch can cause inverted QRS waves on the ECG. Other pathologies may be at play as well. A quick look at a 12-Lead ECG will usually point you in the right direction.
 

Waning Embers

Captain of the Black Frigate
Nov 12, 2014
47,770
129,212
@greeneyes
@Waning Embers

Would the bending of the spine suggest that pressure on a nerve might be alleviated in that position that could be causing the abnormality? The description sounds like something is getting pinched when the spine is straight. It makes me wonder if a nerve needs clearance and some kind of corrective procedure could achieve this.
It could actually be. I had to give up work due to failing mobility and arthritis and had been going to physical therapy for losing the use of my left arm. Spinal arthritis was the cause of that but I don't remember the rest of the family mentioning if anyone else suffered from it. I blacked out earlier this morning and was taken to the hospital. They're keeping me over for a few days so I'll talk to the staff about it.