Wednesday, October 31, 2012

Right ventricular hypertrophy


The diagnosis of right ventricular hypertrophy has a far greater importance in children, than it is in adults. We found out that the cause of the changes in the electrical axis of the standard leads, and then determining hypertrophy can be followed by clinical context, determine the type and location in the heart of pataološkog state.


When right ventricular hypertrophy have the right axle standard deviation leads (S1 R3) and unipolar leads ekstremitetni show R or R1 in the AVR high-more than 6 mm, unipolar chest leads.

• Certain indications DVH exist when precordial leads V1 RS-deflection of the V6 (which points to the predominance of the action potential of the right ventricle through the entire prekordija.
• Type RS R1 deflection in V1 and V2, indicating a probable right ventricular hypertrophy, if R is greater than 15 mm, especially if R is greater than 10 mm.
• High initial RV1-2, with or without Q waves with small R and undoubtedly indicates DVH.
• Intrisikoidna R wave deflection of 0.04 seconds. or more in leads V1 and V2, reliable data for the DVH.
• Intervertirani T waves in leads desnogrudnim accompanied by ST-segment depression in conjunction with other changes in the chest drains indicates serious DVH.
• Indirect data for the DVH is taken high and pointed P2 indicates that the right atrial hypertrophy

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