Left ventricular hypertrophy EKG examples: Difference between revisions
No edit summary |
No edit summary |
||
Line 40: | Line 40: | ||
[[Image: LVH 6.jpg|center|800px]] | [[Image: LVH 6.jpg|center|800px]] | ||
---- | |||
The rhythm in the EKG shown below is not clear. It could be sinus with very flat P waves (there are prominent [[U wave]]s that make it difficult to see P waves) or perhaps nodal rhythm, with most likely [[ventricular premature complex]]es. There is a right [[axis deviation]] of the QRS and tall R waves in V5 (> 35mm) with wide spread ST changes. The EKG suggest left ventricular hypertrophy with possibly a left posterior [[fascicular block]]. | |||
[[Image:Left ventricular hypertrophy07.jpg|center|800px]] | |||
---- | |||
==Sources== | ==Sources== | ||
Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500 | Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500 |
Revision as of 18:10, 16 October 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
For the main page on Left ventricular hypertrophy, click here.
EKG examples
EKG below demonstrates R in V5 is 26mm, S in V1 in 15mm. The sum is 41 mm which is more than 35 mm and therefore LVH is present according to the Sokolow-Lyon criteria.
EKG below demonstrates left ventricular hypertrophy according to the Sokolow-Lyon criteria
![](/images/9/9a/LVH_2.jpg)
EKG below is an another example of extreme left ventricular hypertrophy in a patient with severe aortic valve stenosis
![](/images/1/1c/LVH_3.jpg)
EKG of a patient with LVH and subendocardial ischemia leading to positive cardiovascular markers in blood testing
![](/images/c/c2/LVH_4.jpg)
EKG below shows features of Left ventricular hypertrophy in individual lead
![](/images/d/d7/LVH05.jpg)
EKG BELOW shows sinus rhythm with P waves that are terminally negative in V1 which is suggestive of left atrial abnormality. There is a tall R wave in V5 greater than 30 mm., a deep S wave greater than 30 mm. in V2, and an R wave in lead II greater than 20mm. There are diffuse ST/T wave changes. All of these finding suggest left ventricular hypertrophy. This woman in fact has IHSS.
![](/images/f/f8/LVH_6.jpg)
The rhythm in the EKG shown below is not clear. It could be sinus with very flat P waves (there are prominent U waves that make it difficult to see P waves) or perhaps nodal rhythm, with most likely ventricular premature complexes. There is a right axis deviation of the QRS and tall R waves in V5 (> 35mm) with wide spread ST changes. The EKG suggest left ventricular hypertrophy with possibly a left posterior fascicular block.
![](/images/6/64/Left_ventricular_hypertrophy07.jpg)
Sources
Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500