LEFT VENTRICULAR HYPERTROPHY (LVH) BASICS ECG CHANGES IN LVH SIMPLE CONCEPT: IN LEAD AVL - TALL (R-WAVE) - > 11 mm (greater than 11mm, it's consider LVH) TALL (R-WAVE) IN V5-V6 AND DEEP (S-WAVE) IN V1 (some of this greater than 35mm, then the patient has LVH) E.G: COUNT (R-WAVE) IN V5 = 25mm AND COUNT (S-WAVE) IN V1 = 20mm (together we have 45mm) [ANYTHING GREATER THAN 35 mm, it's consider LVH] NOTE: 1) SINUS RHYTHM, RATE 83/MIN AND NORMAL AXIS. 2) TALL R-WAVE IN LEADS V5-V6 (R-wave in lead v5, 40mm) AND DEEP S- WAVES IN LEADS V1-V2. 3) INVERTED T-WAVES IN LEADS 1,VL AND V5-V6. OVERVIEW: LEFT VENTRICULAR HYPERTROPHY CAUSES A TALL R-WAVE (GREATER THAN 25mm) IN LEAD V5 (OR) V6 AND DEEP S-WAVE IN V1 (OR) V2, BUT IN PRACTICE SUCH "VOLTAGE" CHANGES ALONE ARE UNHELPFU...
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