Tricuspid regurgitation electrocardiogram: Difference between revisions
Jump to navigation
Jump to search
Rim Halaby (talk | contribs) No edit summary |
Rim Halaby (talk | contribs) No edit summary |
||
| Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
==Electrocardiogram== | |||
===Right Atrial Enlargement=== | |||
ECG findings of right atrial enlargement include: | |||
* A [[P wave]] >2.5 mm in leads II, III and aVF | |||
* A [[P wave]] >1.5 mm in lead V1 | |||
Shown below is an ECG demonstrating large P waves in leads to 2,3, and aVF which have a [[P-wave]] height greater than 2.5 mm consistent with right each one enlargement: | |||
[[Image:RAE.png|Right atrial enlargement|center|500px]] | |||
===Right Ventricular Hypertrophy=== | |||
ECG findings of right ventricular hypertrophy include: | |||
* [[Right axis deviation]] of +90 degrees or more | |||
* The [[R wave]] in V<sub>1</sub> is 7 mm or more in height | |||
* RV<sub>1</sub> + SV<sub>5</sub> or SV<sub>6</sub> = 10 mm or more | |||
* R/S ratio in V<sub>1</sub> = 1.0 or more | |||
* S/R ratio in V<sub>6</sub> = 1.0 or more | |||
* Late intrinsicoid deflection in V<sub>1</sub> (0.035+) | |||
* Incomplete [[RBBB]] pattern | |||
* ST T strain pattern in 2,3,aVF | |||
* [[P pulmonale]] or P congenitale | |||
* S1 S2 S3 pattern in children | |||
Shown below is an ECG demonstrating [[right ventricular hypertrophy]]. Note that [[R wave]] > the [[S wave]] in V1. | |||
Image:RVH.png|Right ventricular hypertrophy | |||
[[Image:E_rvh.jpg|Right ventricular hypertrohpy, the [[R wave]] > the [[S wave]] in V1]] | |||
===Pulmonary Hypertension=== | |||
===Left Heart Dilatation=== | |||
==2008 and Incorporated 2006 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease (DO NOT EDIT) <ref name="pmid18820172">{{cite journal |author=Bonow RO, Carabello BA, Chatterjee K, ''et al.'' |title=2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=Circulation |volume=118 |issue=15 |pages=e523–661 |year=2008 |month=October |pmid=18820172 |doi=10.1161/CIRCULATIONAHA.108.190748 |url=}}</ref>== | ==2008 and Incorporated 2006 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease (DO NOT EDIT) <ref name="pmid18820172">{{cite journal |author=Bonow RO, Carabello BA, Chatterjee K, ''et al.'' |title=2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=Circulation |volume=118 |issue=15 |pages=e523–661 |year=2008 |month=October |pmid=18820172 |doi=10.1161/CIRCULATIONAHA.108.190748 |url=}}</ref>== | ||
Revision as of 15:32, 12 September 2014
|
Tricuspid Regurgitation Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Tricuspid regurgitation electrocardiogram On the Web |
|
American Roentgen Ray Society Images of Tricuspid regurgitation electrocardiogram |
|
Risk calculators and risk factors for Tricuspid regurgitation electrocardiogram |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Electrocardiogram
Right Atrial Enlargement
ECG findings of right atrial enlargement include:
Shown below is an ECG demonstrating large P waves in leads to 2,3, and aVF which have a P-wave height greater than 2.5 mm consistent with right each one enlargement:
Right Ventricular Hypertrophy
ECG findings of right ventricular hypertrophy include:
- Right axis deviation of +90 degrees or more
- The R wave in V1 is 7 mm or more in height
- RV1 + SV5 or SV6 = 10 mm or more
- R/S ratio in V1 = 1.0 or more
- S/R ratio in V6 = 1.0 or more
- Late intrinsicoid deflection in V1 (0.035+)
- Incomplete RBBB pattern
- ST T strain pattern in 2,3,aVF
- P pulmonale or P congenitale
- S1 S2 S3 pattern in children
Shown below is an ECG demonstrating right ventricular hypertrophy. Note that R wave > the S wave in V1.
Image:RVH.png|Right ventricular hypertrophy
Pulmonary Hypertension
Left Heart Dilatation
2008 and Incorporated 2006 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease (DO NOT EDIT) [1]
Adolescents (DO NOT EDIT) [1]
| Class I |
| "1. An ECG is indicated for the initial evaluation of adolescent and young adult patients with TR, and serially every 1 to 3 years, depending on severity. (Level of Evidence: C)" |
| Class IIb |
| "1. Holter monitoring may be considered for the initial evaluation of asymptomatic adolescent and young adult patients with TR, and serially every 1 to 3 years. (Level of Evidence: C)" |
References
- ↑ 1.0 1.1 Bonow RO, Carabello BA, Chatterjee K; et al. (2008). "2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". Circulation. 118 (15): e523–661. doi:10.1161/CIRCULATIONAHA.108.190748. PMID 18820172. Unknown parameter
|month=ignored (help)