Pulmonary edema electrocardiography: Difference between revisions
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*** S in [[Electrocardiogram#Precordial|V1]] + R in [[Electrocardiogram#Precordial|V5]] or [[Electrocardiogram#Precordial|V6]] (whichever is larger) ≥ 35 mm | *** S in [[Electrocardiogram#Precordial|V1]] + R in [[Electrocardiogram#Precordial|V5]] or [[Electrocardiogram#Precordial|V6]] (whichever is larger) ≥ 35 mm | ||
*** R in [[Electrocardiogram#Augmented limb|aVL]] ≥ 11 mm | *** R in [[Electrocardiogram#Augmented limb|aVL]] ≥ 11 mm | ||
** The Cornell | ** The Cornell criteria for the EKG diagnosis of LVH involves measurement of the sum of the R wave in lead aVL and the S wave in lead [[Electrocardiogram#Precordial|V3]]. The Cornell criteria for LVH are: | ||
*** S in [[Electrocardiogram#Precordial|V3]] + R in [[Electrocardiogram#Augmented limb|aVL]] > 28 mm (men) | *** S in [[Electrocardiogram#Precordial|V3]] + R in [[Electrocardiogram#Augmented limb|aVL]] > 28 mm (men) | ||
*** S in [[Electrocardiogram#Precordial|V3]] + R in [[Electrocardiogram#Augmented limb|aVL]] > 20 mm (women) | *** S in [[Electrocardiogram#Precordial|V3]] + R in [[Electrocardiogram#Augmented limb|aVL]] > 20 mm (women) | ||
Revision as of 16:10, 2 March 2018
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Pulmonary edema Microchapters |
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Pulmonary edema electrocardiography On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]
Overview
Although there is no diagnostic criteria of pulmonary edema on the EKG, there may be signs of the underlying cardiogenic cause of pulmonary edema.
Electrocardiography
An ECG may be helpful in the diagnosis of cardiogenic pulmonary edema. Electrocardiography of patients with pulmonary edema is based on underlying cause:
- Left ventricular failure
- Low QRS Voltage
- Poor R wave progression
- Left bundle branch block (LBBB)
- Non-specific ST segment and T wave changes
- Left ventricular hypertrophy
- The Sokolow and Lyon criteria
- The Cornell criteria for the EKG diagnosis of LVH involves measurement of the sum of the R wave in lead aVL and the S wave in lead V3. The Cornell criteria for LVH are: