Congestive heart failure electrocardiogram: Difference between revisions
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'''[[Poor R wave progression]]:''' [[Poor R wave progression]] in the precordial leads may be secondary to a prior [[myocardial infarction]] but can also be observed in the absence of a prior myocardial infarction in the patient with heart failure. | '''[[Poor R wave progression]]:''' [[Poor R wave progression]] in the precordial leads may be secondary to a prior [[myocardial infarction]] but can also be observed in the absence of a prior myocardial infarction in the patient with heart failure. | ||
'''[[Left bundle branch block]] ([[LBBB]]):''' can be observed in both ischemic and non-ischemic cases of heart failure | |||
'''[[Left ventricular hypertrophy]]:''' consistent with a history of [[hypertension]] can be seen | |||
'''[[Left atrial enlargement]]''' | |||
'''[[Non-specific ST segment and T wave changes]]''' | |||
==References== | ==References== | ||
Revision as of 20:35, 1 April 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Although there is no diagnostic criteria of congestive heart failure on the EKG, there may be signs of the underlying cardiac cause(s) of congestive heart failure.
Electrocardiographic Abnormalities in Congestive Heart Failure
Low QRS Voltage: The EKG often shows low QRS voltage. There are two broad underlying causes of low QRS voltage in the patient with heart failure:
- Electrically inert myocardium due to a loss of viable myocardium
- Infiltration of the myocardium (myxedematous, Chagas disease)
In alphabetical order the differential diagnosis of causes of low QRS voltage in the patient with heart failure includes:
Poor R wave progression: Poor R wave progression in the precordial leads may be secondary to a prior myocardial infarction but can also be observed in the absence of a prior myocardial infarction in the patient with heart failure.
Left bundle branch block (LBBB): can be observed in both ischemic and non-ischemic cases of heart failure Left ventricular hypertrophy: consistent with a history of hypertension can be seen Left atrial enlargement Non-specific ST segment and T wave changes
References
- ↑ 1.0 1.1 Madias JE (2008). "Low QRS voltage and its causes". J Electrocardiol. 41 (6): 498–500. doi:10.1016/j.jelectrocard.2008.06.021. PMID 18804788.
- ↑ Chinitz JS, Cooper JM, Verdino RJ (2008). "Electrocardiogram voltage discordance: interpretation of low QRS voltage only in the limb leads". J Electrocardiol. 41 (4): 281–6. doi:10.1016/j.jelectrocard.2007.12.001. PMID 18353352.