Right ventricular hypertrophy: Difference between revisions

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==ECG Findings==
==ECG Findings==
#Dominant R in V1 >7mm (also seen in WPW, RBBB, post MI, & nml var)
*RVH is usually associated with Right at real enlargement or Right Ventricular Strain (Deep ST inversions in leads V1-V3)
#RSR in V1 w/ QRS < 0.12
*Dominant R in V1 >7mm
#This dx usu also w/ RAE or strain (ST dep w/ twi in V1-V3).
*RSR in V1 w/ QRS < 0.12
#Less sens. & spec. than LVH, usu nl ecg
 
#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.
 
#(note: R&nbsp;:S ratio greater than 1 also in: 1.RBBB 2.WPW type A. 3. Post. Wall MI. 4.kids.)
Criteria are less sensitive and specific than [[Left Ventricular Hypertrophy (LVH)|LVH]] criteria
 
==R > 7mm in V1==
;Associated with:
#WPW
#RBBB
#Posterior MI
#Normal Variant
 


==See Also==
==See Also==
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== Source ==
== Source ==
*Adapted from Niemann, Lampe, Pani, Donaldson, ECGpedia.org
*Lecture by Dr. James Niemann MD
*Journal of Electrocardiology. Vol 43 (2010). 40-42.
*Journal of Electrocardiology. Vol 43 (2010). 40-42.


[[Category:Cards]]
[[Category:Cards]]

Revision as of 03:30, 3 June 2014

ECG Findings

  • RVH is usually associated with Right at real enlargement or Right Ventricular Strain (Deep ST inversions in leads V1-V3)
  • Dominant R in V1 >7mm
  • RSR in V1 w/ QRS < 0.12


Criteria are less sensitive and specific than LVH criteria

R > 7mm in V1

Associated with
  1. WPW
  2. RBBB
  3. Posterior MI
  4. Normal Variant


See Also

Source

  • Lecture by Dr. James Niemann MD
  • Journal of Electrocardiology. Vol 43 (2010). 40-42.