What if there is both Right Ventricular Hypertrophy and Left Ventricular Hypertrophy ? V3 and/or V4 both R and S deflection/waves higher voltage than average unless there is any bundle branch block ?
Given that this EKG fits criteria for LVH using one of the standardized criteria, this EKG is suggestive of LVH. With that being said, EKG's are simply suggestive of LVH. You would need more advanced imaging, primarily echocardiography, to formally diagnosis LVH.
![Right Bundle Branch Block on 12 Lead ECG - Identification and Diagnostic Criteria [Actual ECGs!]](http://i.ytimg.com/vi/lynIpqVjN6Q/mqdefault.jpg)
![Right Bundle Branch Block on 12 Lead ECG - Identification and Diagnostic Criteria [Actual ECGs!]](/img/tr.png)
Simple and effective..
I appreciated your method of using real ECG to clear concept rather then doing it on plane white board
Thanks for checking out the video!
What if there is both Right Ventricular Hypertrophy and Left Ventricular Hypertrophy ?
V3 and/or V4 both R and S deflection/waves higher voltage than average unless there is any bundle branch block ?
So what should be the final diagnosis according the these criteria? One is positive another negative.
Given that this EKG fits criteria for LVH using one of the standardized criteria, this EKG is suggestive of LVH. With that being said, EKG's are simply suggestive of LVH. You would need more advanced imaging, primarily echocardiography, to formally diagnosis LVH.
Does that last EKG have enlargement or hypertrophy of at least one of the atria?
No heart rate is high so p wave appear higher