ECG Quest > Shapes > QRS complex > Tall QRS

Tall QRS

A tall QRS complex is hard to define. By the Sokolov-Lyon criteria, the QRS is large if the S wave in V1 + R in V5 or V6 is more than 35 mm. A tall QRS complex is most often associated with left ventricular hypertrophy, but additional criteria must be met to make this diagnosis. The QRS voltage may also be high in lean, athletic patients without evidence of hypertrophy.

See also: QRS complex

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References

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In the ECGquest archives, this ECG has been tagged with: - Inferior ST elevation Tall QRS 12-Lead Dr Smith's ECG Blog CC BY-NC
LVH with expected repolarization abnormalities, or acute OMI?

This ECG is from a patient who presented with acute chest pain on a background of diabetes.

This ECG shows LVH and inferior ST elevation with depression in aVL (slight). This was new in comparison to the baseline ECG. The cause was most likely a RCA narrowing.

In the ECGquest archives, this ECG has been tagged with: - Tall QRS Normal ST elevation 12-Lead Dr Smith's ECG Blog CC BY-NC
Is this terminal QRS distortion? Is there LVH?

This ECG is from an otherwise healthy, thin, African American male.

This ECG shows high voltage QRS and ST elevation with J waves, without discordant ST depression and T wave inversion, likely due to early repolarisation in a young person with a thin chest wall.

In the ECGquest archives, this ECG has been tagged with: - Inverted T waves Tall QRS Normal 12-Lead Dr Smith's ECG Blog CC BY-NC
15 yo AAM with ST Elevation and T-wave Inversion. Hypertrophic Cardiomyopathy or Normal (“Variant”)?

This ECG is from a teenage male who presented for a routine sports physical. He is African American.

This ECG shows high voltage with benign T wave inversion. Echocardiography did not show any evidence of HOCM.

In the ECGquest archives, this ECG has been tagged with: - Anterior ST elevation Tall QRS LVH 12-Lead Dr Smith's ECG Blog Dr Ken Grauer CC BY-NC
Profound ST Elevation in V1-V3. What do you think?

This ECG is from a patient of unknown age who had a systolic BP of 220 mm HG and no ischemic symptoms.

This ECG shows tall QRS complexes meeting LVH criteria with anterior ST elevation. Echo confirmed marked left ventricular hypertrophy only.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Normal Axis Inverted T waves Tall QRS Normal Sinus Rhythm Normal 12-Lead Paediatric ECG Guru CC-BY-NC-SA
Instructors’ Collection ECG: Normal ECG in Seven-year-old Girl

This ECG is from a young girl with mild chest pain.

This ECG shows normal sinus rhythm with inverted T waves in V1 and a tall QRS complex. This was a normal paediatric ECG.

In the ECGquest archives, this ECG has been tagged with: - Inverted T waves J wave Tall QRS Normal Sinus Rhythm Normal 12-Lead Dr Pendell Meyers Dr Smith's ECG Blog Dr Ken Grauer CC BY-NC
Two cases of ST Elevation with Terminal T-wave Inversion – do either, neither, or both need reperfusion?

This ECG is from a teenage male who presented with chest tightness and shortness of breath for 6 hours on a background of asthma.

This ECG shows sinus rhythm with tall QRS and associated repolarisation changes, benign T wave inversion in V3-V6 with J-waves and ST-elevation.

In the ECGquest archives, this ECG has been tagged with: - Abdominal pain Discordant ST changes Tall QRS Wide QRS LBBB 12-Lead ECG of the Week CC-BY-NC-SA
ECG of the Week – 5th November 2018 – Interpretation

This ECG is from a man in his 70s who presented with epigastric pain on a background of hypertension.

This ECG shows LBBB and occasional PVCs with discordant changes that do not meet Sgarbossa criteria. The patient self-discharged against advice before an echo could be completed for possible LVH.

In the ECGquest archives, this ECG has been tagged with: - Syncope Inverted T waves Tall QRS 12-Lead Dr Smith's ECG Blog Dr Dan Lee CC BY-NC
A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments

This ECG is from a man in his 60s who presented with syncope during haemodialysis along with general lethargy and mild shortness of breath. This was his baseline ECG.

In the ECGquest archives, this ECG has been tagged with: - Syncope Inverted T waves Pseudonormalised ST segment Tall QRS 12-Lead Dr Smith's ECG Blog Dr Dan Lee CC BY-NC
A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments – presenting ECG

This ECG is from a man in his 60s who presented with syncope during haemodialysis along with general lethargy and mild shortness of breath. This was his initial ECG.

In the ECGquest archives, this ECG has been tagged with: - Syncope Inverted T waves Pseudonormalised ST segment Tall QRS 12-Lead Dr Smith's ECG Blog Dr Dan Lee CC BY-NC
A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments – repeat next day

This ECG is from a man in his 60s who presented with syncope during haemodialysis along with general lethargy and mild shortness of breath. This was his repeat ECG when he developed worsening dyspnoea with hypoxia, hypotension and confusion.

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