LVH with secondary repolarization abnormalities
Leads to Compare
Age, sex, symptoms, and the reason for recording are not supplied.
Look for
- High QRS voltages.
- Associated ST–T abnormalities described by the source.
Where to look. Compare precordial voltages and ST segments/T waves in I, aVL, V5–V6.
Altered ventricular activation and recovery can accompany LVH. Inverted T waves therefore do not, in isolation, prove acute ischemia.
Repolarization abnormalities are described as secondary to LVH, with no clinical history supplied.
References & provenance
The ECG Made Easy, 9e, ch. 5, PDF 125–128; Lilly, 6e, ch. 4, p. 91–92.
Left ventricular hypertrophy with secondary repolarization.jpg
Left ventricular hypertrophy with secondary repolarization.jpg — James Heilman, MD — Wikimedia Commons — CC BY-SA 4.0 — https://commons.wikimedia.org/wiki/File:Left_ventricular_hypertrophy_with_secondary_repolarization.jpg. Indiquer toute modification. CC BY-SA 4.0
Adaptation: cropping and removal of headers/annotations outside the tracing where applicable; metadata removed. Waveforms have not been redrawn.
Compared with the published source; no independent clinical validation is claimed.
Original annotations & limitations
HVG avec anomalies secondaires de repolarisation
Left ventricular hypertrophy with secondary repolarization abnormalities as seen on ECG
L’ECG seul ne prouve ni la masse ventriculaire ni la cause; garder les critères et le contexte distincts.