Right ventricular hypertrophy

ECG Findings

RVH

RVH in 12-lead ECG

• 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

Differential Diagnosis

Cardiac Hypertrophy and Enlargement

• Right atrial enlargement
• Left atrial enlargement
• Left ventricular hypertrophy
• Right ventricular hypertrophy

See Also

• ECG (Basics)

Source

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