A patient presents with LVH and pulmonary complications. ECG shows left axis detion. Most likely diagnosis is
**Core Concept**
Left ventricular hypertrophy (LVH) and left axis deviation on ECG are often associated with conditions that increase the workload on the left ventricle, such as hypertension. In the context of pulmonary complications, the left axis deviation may indicate a condition that affects both the left ventricle and the lungs.
**Why the Correct Answer is Right**
The combination of LVH and left axis deviation, along with pulmonary complications, is highly suggestive of cor pulmonale, a condition characterized by right ventricular failure due to pulmonary hypertension. This leads to increased pressure and workload on the left ventricle, causing LVH and left axis deviation. The pulmonary complications are likely due to the underlying lung disease that caused the pulmonary hypertension.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not explain the left axis deviation and LVH in the context of pulmonary complications.
**Option B:** This option is incorrect because it does not address the pulmonary complications and the left axis deviation.
**Option C:** This option is incorrect because it does not explain the relationship between the left axis deviation and the pulmonary complications.
**Clinical Pearl / High-Yield Fact**
Cor pulmonale is a classic example of a condition that affects both the right and left ventricles, highlighting the importance of considering the entire cardiovascular system when evaluating a patient's symptoms.
**Correct Answer: C. Cor Pulmonale**