Right ventricular hypertrophy

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ECG Findings

RVH
RVH in 12-lead ECG
  • RVH is usually associated with right atrial enlargement or right ventricular strain (deep ST inversions in leads V1-V3)
  • Dominant R in V1 >7mm
  • RSR in V1 with QRS < 0.12
These criteria are less sensitive and specific than LVH criteria

Differential Diagnosis

Cardiac Hypertrophy and Enlargement

R > 7mm in V1

  • WPW
  • RBBB
  • Right ventricular hypertrophy
  • Posterior MI
  • Normal Variant

See Also

References

  • Lecture by Dr. James Niemann MD
  • Journal of Electrocardiology. Vol 43 (2010). 40-42.