Ventricular Hypertrophy
Ventricular Hypertrophy
Lancashire & South Cumbria Cardiac Network
Left Ventricular Hypertrophy
?
The left ventricular myocardium will
thicken as a reaction to hypertension, aortic
stenosis and mitral regurgitation.
?
These are conditions ¡ú ventricle has to
perform more work than usual. Results in
an increase in muscle mass.
ECG Criteria
V1 & V2 ¡ú deep S waves greater than
30mm
? V4, V5, V6, I & AVL ¡ú tall R waves
greater than 27mm
? * Or sum of S wave V1 + R wave V6
should be greater then 37mm *
? Left Axis Deviation
? Ventricular activation time greater than
0.12secs
?
Strain Pattern
Leads facing the LV (V5 & V6) may show
a strain pattern.
? This is a reflection of the abnormal state of
the myocardium.
?
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