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 ventricle has to perform more work than usual. Results in an increase in muscle mass.
ECG Criteria
V1 & V2 deep S waves greater than 30mm
V4, V5, V6, I & AVL 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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