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identify this ECG abnormality.

Discussion in 'Spot Diagnosis' started by shobitha, Aug 21, 2012.

  1. shobitha

    shobitha Active member

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    LVH2.jpg
     

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  2. shubeto

    shubeto Well-Known Member

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    Left ventricular hypertrophy
     


  3. drasevangelista

    drasevangelista Well-Known Member

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    LVH by voltage
     


  4. shobitha

    shobitha Active member

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    diagnosis is LVH. the changes are,
    tallest 'R'wave & deepest 'S'wave >40mm
    tall'R' wave in aVL
    LAD
    ST depression & T inversion in V4-V5
    ST elevation in V1-V3 (this is not due to MI, but due to deep S wave- appropriate discordance)
    'U' wave in V1-V3
    slightly prolonged QRS complex duration (due to interventricular conduction delay)
     


  5. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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  6. sundarto

    sundarto Bronze Member

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