RVH

Right ventricular hypertrophy (RVH) causes a right axis deviation, dominant R in V1 and a dominant S in V5 or V6, in the presence of a narrow QRS. There may also be signs of a right atrial enlargement, and a right ventricular strain pattern with ST depression and T wave inversion in the right (V1-B4) and inferior (II, III, aVF) leads.

RVH can be caused by pulmonary hypertension, PE, cor pulmonale, mitral stenosis, pulmonary stenosis, ARVC or congenital heart disease.

See also: Hypertrophy and enlargement

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References

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In the ECGquest archives, this ECG has been tagged with: - Anterior ST depression Inverted T waves R in V1 RVH 12-Lead Dr Smith's ECG Blog CC BY-NC
ST Depression and T-wave inversion in V2 and V3.

This ECG is from a middle aged male dialysis patient who was found disorganised and paranoid.

This ECG shows ST depression and T wave inversion in V2-3 due to right ventricular hypertrophy.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Loss of consciousness Right Axis Deviation Inverted T waves R in V1 RVH 12-Lead Dr Smith's ECG Blog Dr Ken Grauer CC BY-NC
ST Depression and T-wave Inversions after ROSC from Resp and Cardiac Arrest after Head Trauma