LVH with Right Axis Deviation
Report:
Atrial tachycardia (flutter) 208/min with 2:1 block
Axis +90o
Small voltage, limb leads
Left ventricular hypertrophy with ST/T changes
Comment:
The rate of the flutter is very slow, presumably due to flecainide therapy; it was only reported as flutter because it was faster previously and the isoelectric shelf is still characteristically effaced in the inferior leads.
The LVH is unusual in two respects: small limb lead voltage (QRS < 5 mm in all 6 leads) and right axis deviation +90o. They both express biventricular hypertrophy in this patient.
The patient had a proven COCM, with normal coronary angiogram. A similar ECG is in Case 29, in a transplanted heart, also with COCM. The combination may also indicate HOCM.
If you have any suggestions for or feedback on this report, please let us know.
Hi, can we chat about some terms and conditions?
The library and it's records are licensed under the Creative Commons Attribution 4.0 International license.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
By clicking agree below, you are agreeing to adhere to CC BY 4.0.