Right ventricular hypertrophy

ECG Findings

1. Dominant R in V1 >7mm (also seen in WPW, RBBB, post MI, & nml var)
2. RSR in V1 w/ QRS < 0.12
3. This dx usu also w/ RAE or strain (ST dep w/ twi in V1-V3).
4. Less sens. & spec. than LVH, usu nl ecg
5. RVH-R wave greater than S in V1, but gets progressively smaller from V1 to V6. S wave persists in V5 and V6. RAD with slightly wide QRS.
6. (note: R :S ratio greater than 1 also in: 1.RBBB 2.WPW type A. 3. Post. Wall MI. 4.kids.)

See Also

• ECG (Basics)

Source

• Adapted from Niemann, Lampe, Pani, Donaldson, ECGpedia.org
• Journal of Electrocardiology. Vol 43 (2010). 40-42.