A 54-year-old man with chronic obstructive pulmonary disease (COPD) has been admitted to the…

A 54-year-old man with chronic obstructive pulmonary disease
(COPD) has been admitted to the hospital for abdominal surgery. His routine
laboratory data are normal, but his heart (cardiac silhouette) appears somewhat
enlarged. The ECG shows a normal sinus rhythm with a right-axis deviation. How
is the right-axis deviation detected and what does the right-axis deviation
suggest

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