Ventricular Hypertrophy Flashcards
1
Q
what criteria must be met to diagnose right ventricular hypertrophy?
A
- right axis deviation
- loss of normal lead progression
2
Q
what are 3 causes of right ventricular hypertrophy?
A
- COPD / lung disease
- valvular disease / ASD
- chronic left heart failure
3
Q
what does more hypertrophy in the left ventricle lead to in the ECG?
A
greater depolarization and amplitude
4
Q
which leads should I look at to determine left ventricular hypertrophy?
A
chest leads
5
Q
what is the criteria for LVH?
A
- (S in V1 or V2) + (R in V5 or V6) exceeds 35mm
- R in V5 exceeds 26 mm
- R in V6 exceeds 20 mm
- R wave in V6 exceeds R wave in V5
6
Q
what is the primary cause of left ventricular hypertrophy?
A
hypertension
7
Q
what are 3 signs of RVH?
A
- increased R wave in V1 and V2
- depressed ST segment
- flipped, asymmetric T wave
8
Q
what would an acute right ventricular repolarization abnormality cause on an ECG?
A
S1Q3T3
9
Q
what does S1Q3T3 mean?
A
S wave in lead 1
Q wave in lead 3
flipped T wave in lead 3