Reversible Katz-Wachtel Phenomenon
Report:
Sinus rhythm 160/min
Katz-Wachtel phenomenon – biventricular hypertrophy
Comment:
Here the evidence for RVH is confined to the upright T wave in V1 (abnormal from 4 days to 4 years) and for LVH to the sum of SV1 + RV5 voltages > 45 mm. However, Katz-Wachtel mid-precordial voltages are diagnostic of biventricular hypertrophy.
Both ASD and VSD were repaired at the age of three months and, by 2 years, the ECG was virtually normal (Fig 13a below).
Short PR intervals of both recordings are of course normal in children.
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