Life In Fast Lane Rvh

How about this one of a 10 year old am j emerg med 2008 26 221 228.

Life in fast lane rvh.

Topic title dead keywords. The electrical vector of the left ventricle is enhanced in lvh which results in large r waves in left sided leads v5 v6 avl and i and deep s waves in right sided chest leads v1 v2. The standard voltage criteria do not apply. One of the more frequent dilemmas in ecg interpretation is the differential diagnosis of an rsr pattern in leads v1 v2.

And the potter classification of polycystic kidney disease 1964. Look at the qrs in v1 there is an rsr pattern indicating right ventricular hypertrophy. Edith louise potter 1901 1993 was an american pediatric pathologist. If we look at avf the qrs is biphasic.

This patient had primary pulmonary hypertension. However the presence of incomplete complete rbbb with a tall r wave in v1 right axis deviation of 110 or more and supporting criteria such as rv strain pattern or p pulmonale would be considered suggestive of rvh. Increased r s ratio greater than upper limits for child s age in v1 2. We often face this finding in asymptomatic and otherwise healthy individuals and the causes may vary from benign nonpathological variants to severe or life threatening heart diseases such as brugada syndrome or arrhythmogenic right ventricular dysplasia.

Criteria for diagnosing lvh. It s certainly how he came into this world. Rad for the patients age. Note that the qrs are the right width however there is a pure r wave in v1 indicating rvh.

Life in the fast lane lyrics. The most commonly used are the sokolov lyon criteria s wave depth in v1 tallest r wave height in v5 v6 35 mm. Ecg changes seen in left ventricular hypertrophy lvh and right ventricular hypertrophy rvh. There are numerous criteria for diagnosing lvh some of which are summarised below.

Voltage criteria must be accompanied by non voltage criteria to be considered diagnostic of lvh. Syncope shock and chest pain. Lmca left main coronary artery occlusion st elevation in avr. Hay block 1906 mobitz ii av block ecg mobitz av block mobitz type ii 2nd degree av block atrioventricular block.

There are no universally accepted criteria for diagnosing rvh in the presence of rbbb. The newest everett resident was born saturday may 13 in a van on highway 400 while mom jennifer hoffarth was racing to barrie s royal victoria hospital. Tristan christopher thomas lacombe is destined to live his life in the fast lane.