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Posts Tagged ‘lvh lbbb’

LVH is   a common ECG  finding .Classically  it should produce tall  R waves and deep S waves in V1-V3 .

But it is well known deep q waves also can occur in LVH  especially in severe  forms of pathological LVH.

Q-LVH INCOMPLET LBBB STEMI DIFFERENTIAL DIAGNOSIS

Why the septal R disappears in some is not clear .( due to  myocardial dis-array ? )

LVH  results in  secondary ST /T  changes either inherent or associated  conduction delay. (In-complete LBBB )

Final message

Errors  mistaking LVH for STEMI  is more common than we realise . Propagation of the  term  Q -LVH with ST elevation  will help  reduce this common error in coronary care units.

 

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