Abstract
Right ventricular hypertrophy (RVH) is only detectable in the ECG if the normally thin wall of the right ventricle develops hypertrophy up to a grade that more or less balances the left ventricular mass. This alteration always takes time, generally months or years.
Excessive RVH (with a right ventricular mass at least as great as the left ventricular mass) can be reliably diagnosed. In moderate RVH, the ECG manifestations allow only some suspicion of the presence of RVH. It is much rarer than left ventricular hypertrophy and is encountered in congenital heart diseases in its extensive form.
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References
Walker IC, Helm RA, Scott RC. Right ventricular hypertrophy: I. Correlation of isolated right ventricular hypertrophy at autopsy with the electrocardiographic findings. Circulation 1955;11:215
Bove KE, Rowlands DT, Scott RC. Observations on the assessment of cardiac hypertrophy utilizing a chamber partition technique. Circulation 1966;33:558
Sokolow M, Lyon TR The ventricular complex in right ventricular hypertrophy as obtained by unipolar precordial and limb leads. Am Heart J 1949;38:273
Roman GT Jr, Walsh TJ, Massie E. Right ventricular hypertrophy: Correlation of electrocardiographic and anatomic findings. Am J Cardiol 1961;7:481
Chou TC, Masangkay MP, Young R, et al. Simple quantitative vectorcardiographic criteria for the diagnosis of right ventricular hypertrophy. Circulation 1973;48:1262
Flowers NC, Horan LG. Hypertrophy and infarction: Subtle signs of right ventricular enlargement and their relative importance. In: Schlant RC, Hurst JW (eds): Advances in Electrocardiography. New York: Grune & Stratton, 1972
Gurtner HR Pulmonary hypertension, ‘plexogenic pulmonary arteriopathy’ and the appetite depressant drug aminorex: post or propter. Bull Eur Physiopathol Resp 1979;15:897
Barboza ET, Brandenburg RO, Swan HJC. Atrial septal defect: The electrocardiogram and its hemodynamic correlation in 100 proved cases. Am J Cardiol 1958;2:698
James FW, Kaplan S. The normal electrocardiogram in the infant and child. Cardiovasc Clin 1973;5:295
Hiss RG, Lamb LE, Allen ME Electrocardiographic findings in 67 375 asymtomatic subjects: X. Normal values. Am J Cardiol 1960;6:200
Ziegler RE Electrocardiographic studies in normal infants and children. Springfield, IL: Charles C Thomas, 1951
Cabrera E, Monroy JR. Systolic and diastolic loading of the heart: II. Electrocardiographic data. Am Heart J 1952;43:669
Silver AM, Siderides LE, Antomius NA. The right precordial leads in congenital heart diseases manifesting right ventricular preponderance. Am J Cardiol 1959;3:713
Gurtner HP, Gertsch M, Salzmann C, et al. Häufen sich die primär vasculären Formen des chronischen Cor pulmonale? Schweiz med Wschr 1968;98:1579–94
Gertsch M, Kaufmann M, Althaus U. Zur Circumclusion des Ostium-secundum-Defektes. Schweiz med Wschr 1973;103:281
Cayler GG, Ongley F, Nadas AF. Relation of systolic pressure in the right ventricle to the electrocardiogram: A study of patients with pulmonary stenosis and intact ventricular septum. N Engl J Med 1958;258:979
Burch GE, De Pasquale NR Electrocardiography in the diagnosis of congenital heart disease. Philadelphia: Lea & Febiger 1967, p 322
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© 2004 Springer-Verlag Berlin Heidelberg
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Gertsch, M. (2004). Right Ventricular Hypertrophy. In: The ECG. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10315-9_7
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DOI: https://doi.org/10.1007/978-3-662-10315-9_7
Publisher Name: Springer, Berlin, Heidelberg
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