Strain pattern

In electrocardiography, a strain pattern is a well-recognized marker for the presence of anatomic left ventricular hypertrophy (LVH) in the form of ST depression and T wave inversion on a resting ECG. [1] It is an abnormality of repolarization and it has been associated with an adverse prognosis in a variety heart disease patients. It has been important in refining the role of ECG LVH criteria in cardiac risk stratification. It is thought that a strain pattern could also reflect underlying coronary heart disease.


  1. Okin, PM Devereux, RB, Nieminen, MS et al (2001), “Relationship of the electrocardiographic strain pattern to left ventricular structure and function in hypertensive patients: the LIFE study”; J Am Coll Cardiol.;38(2):514-520. doi:10.1016/S0735-1097(01)01378-X
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