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ECG: right ventricle hypertrophy

MedGen UID:
65427
•Concept ID:
C0232305
•
Finding
Synonyms: ECG: RVH - right ventricle hypertrophy; Right Ventricular Hypertrophy by ECG Finding; Right Ventricular Hypertrophy by EKG Finding
SNOMED CT: ECG: right ventricle hypertrophy (164877000); ECG: RVH - right ventricle hypertrophy (164877000)

Definition

An electrocardiographic finding suggestive of a hypertrophied right ventricle, characterized by large R wave amplitudes in the right precordial leads and secondary findings of right atrial enlargement, right axis deviation, and typical pattern of ST depression and T wave inversion in the right precordial leads. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVECG: right ventricle hypertrophy

Professional guidelines

PubMed

Diagnostic utility of 31 ECG criteria for predicting echocardiographic left ventricular geometry.
De-la-Garza-Salazar F
Arch Cardiol Mex 2022;92(4):492-501. doi: 10.24875/ACM.21000304. PMID: 36413698Free PMC Article
Immune-mediated and autoimmune myocarditis: clinical presentation, diagnosis and management.
Caforio AL, Marcolongo R, Jahns R, Fu M, Felix SB, Iliceto S
Heart Fail Rev 2013 Nov;18(6):715-32. doi: 10.1007/s10741-012-9364-5. PMID: 23114995
Diagnosis and management of right ventricular myocardial infarction.
O'Rourke RA, Dell'Italia LJ
Curr Probl Cardiol 2004 Jan;29(1):6-47. doi: 10.1016/j.cpcardiol.2003.08.003. PMID: 14872197

Recent clinical studies

Etiology

Electocardiographic features in Ebstein's disease.
Saoussen A, Sana O, Kaouther H, Hela M, Fatma O
Tunis Med 2021 Juin;99(6):614-622. PMID: 35244913Free PMC Article
The adolescent athlete's heart; A miniature adult or grown-up child?
Pieles GE, Stuart AG
Clin Cardiol 2020 Aug;43(8):852-862. Epub 2020 Jul 9 doi: 10.1002/clc.23417. PMID: 32643161Free PMC Article
Cardiac Phenotype of Prehypertrophic Fabry Disease.
Nordin S, Kozor R, Baig S, Abdel-Gadir A, Medina-Menacho K, Rosmini S, Captur G, Tchan M, Geberhiwot T, Murphy E, Lachmann R, Ramaswami U, Edwards NC, Hughes D, Steeds RP, Moon JC
Circ Cardiovasc Imaging 2018 Jun;11(6):e007168. doi: 10.1161/CIRCIMAGING.117.007168. PMID: 29853467Free PMC Article
Pulmonary Hypertension - New Trends of Diagnostic and Therapy.
Pesto S, Begic Z, Prevljak S, Pecar E, Kukavica N, Begic E
Med Arch 2016 Jul 27;70(4):303-307. doi: 10.5455/medarh.2016.70.303-307. PMID: 27703295Free PMC Article
Left ventricular non-compaction cardiomyopathy.
Towbin JA, Lorts A, Jefferies JL
Lancet 2015 Aug 22;386(9995):813-25. Epub 2015 Apr 9 doi: 10.1016/S0140-6736(14)61282-4. PMID: 25865865

Diagnosis

The adolescent athlete's heart; A miniature adult or grown-up child?
Pieles GE, Stuart AG
Clin Cardiol 2020 Aug;43(8):852-862. Epub 2020 Jul 9 doi: 10.1002/clc.23417. PMID: 32643161Free PMC Article
Differentiating Athlete's Heart from Cardiomyopathies - The Right Side.
Prior D
Heart Lung Circ 2018 Sep;27(9):1063-1071. Epub 2018 May 19 doi: 10.1016/j.hlc.2018.04.300. PMID: 29861322
Four left ventricular apical abnormalities.
Conti CR
Clin Cardiol 2006 Feb;29(2):50-1. doi: 10.1002/clc.4960290202. PMID: 16506637Free PMC Article
ECG poor R-wave progression: review and synthesis.
Zema MJ, Kligfield P
Arch Intern Med 1982 Jun;142(6):1145-8. PMID: 6212033
Ventricular hypertrophy.
Scott RC
Cardiovasc Clin 1973;5(3):219-53. PMID: 4274976

Therapy

Cardiac Phenotype of Prehypertrophic Fabry Disease.
Nordin S, Kozor R, Baig S, Abdel-Gadir A, Medina-Menacho K, Rosmini S, Captur G, Tchan M, Geberhiwot T, Murphy E, Lachmann R, Ramaswami U, Edwards NC, Hughes D, Steeds RP, Moon JC
Circ Cardiovasc Imaging 2018 Jun;11(6):e007168. doi: 10.1161/CIRCIMAGING.117.007168. PMID: 29853467Free PMC Article
Left ventricular non-compaction cardiomyopathy.
Towbin JA, Lorts A, Jefferies JL
Lancet 2015 Aug 22;386(9995):813-25. Epub 2015 Apr 9 doi: 10.1016/S0140-6736(14)61282-4. PMID: 25865865
Detection of cardiovascular disease in elite athletes using cardiac magnetic resonance imaging.
Mangold S, Kramer U, Franzen E, Erz G, Bretschneider C, Seeger A, Claussen CD, Niess AM, Burgstahler C
Rofo 2013 Dec;185(12):1167-74. Epub 2013 Jul 29 doi: 10.1055/s-0033-1350130. PMID: 23897528
Immune-mediated and autoimmune myocarditis: clinical presentation, diagnosis and management.
Caforio AL, Marcolongo R, Jahns R, Fu M, Felix SB, Iliceto S
Heart Fail Rev 2013 Nov;18(6):715-32. doi: 10.1007/s10741-012-9364-5. PMID: 23114995
Resistant hypertension and left ventricular hypertrophy: an overview.
Cuspidi C, Vaccarella A, Negri F, Sala C
J Am Soc Hypertens 2010 Nov-Dec;4(6):319-24. doi: 10.1016/j.jash.2010.10.003. PMID: 21130978

Prognosis

Cardiac Phenotype of Prehypertrophic Fabry Disease.
Nordin S, Kozor R, Baig S, Abdel-Gadir A, Medina-Menacho K, Rosmini S, Captur G, Tchan M, Geberhiwot T, Murphy E, Lachmann R, Ramaswami U, Edwards NC, Hughes D, Steeds RP, Moon JC
Circ Cardiovasc Imaging 2018 Jun;11(6):e007168. doi: 10.1161/CIRCIMAGING.117.007168. PMID: 29853467Free PMC Article
Human γ2-AMPK Mutations.
Yavari A, Sarma D, Sternick EB
Methods Mol Biol 2018;1732:581-619. doi: 10.1007/978-1-4939-7598-3_37. PMID: 29480501
The spatial QRS-T angle: implications in clinical practice.
Voulgari C, Pagoni S, Tesfaye S, Tentolouris N
Curr Cardiol Rev 2013 Aug;9(3):197-210. doi: 10.2174/1573403x113099990031. PMID: 23909632Free PMC Article
Immune-mediated and autoimmune myocarditis: clinical presentation, diagnosis and management.
Caforio AL, Marcolongo R, Jahns R, Fu M, Felix SB, Iliceto S
Heart Fail Rev 2013 Nov;18(6):715-32. doi: 10.1007/s10741-012-9364-5. PMID: 23114995
Evaluation of suspected right ventricular pathology in the athlete.
Sniderman JD, Sado DM, Sniderman AD, McKenna WJ
Prog Cardiovasc Dis 2012 Mar-Apr;54(5):397-406. doi: 10.1016/j.pcad.2012.01.005. PMID: 22386290

Clinical prediction guides

ECG in the clinical and prognostic evaluation of patients with pulmonary arterial hypertension: an underestimated value.
Michalski TA, Pszczola J, Lisowska A, Knapp M, Sobkowicz B, Kaminski K, Ptaszynska-Kopczynska K
Ther Adv Respir Dis 2022 Jan-Dec;16:17534666221087846. doi: 10.1177/17534666221087846. PMID: 35442108Free PMC Article
Electocardiographic features in Ebstein's disease.
Saoussen A, Sana O, Kaouther H, Hela M, Fatma O
Tunis Med 2021 Juin;99(6):614-622. PMID: 35244913Free PMC Article
Cardiac Phenotype of Prehypertrophic Fabry Disease.
Nordin S, Kozor R, Baig S, Abdel-Gadir A, Medina-Menacho K, Rosmini S, Captur G, Tchan M, Geberhiwot T, Murphy E, Lachmann R, Ramaswami U, Edwards NC, Hughes D, Steeds RP, Moon JC
Circ Cardiovasc Imaging 2018 Jun;11(6):e007168. doi: 10.1161/CIRCIMAGING.117.007168. PMID: 29853467Free PMC Article
Cardiac manifestations in Fabry disease.
Linhart A, Lubanda JC, Palecek T, Bultas J, Karetová D, Ledvinová J, Elleder M, Aschermann M
J Inherit Metab Dis 2001;24 Suppl 2:75-83; discussion 65. doi: 10.1023/a:1012428009627. PMID: 11758683
ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance.
Zehender M, Meinertz T, Keul J, Just H
Am Heart J 1990 Jun;119(6):1378-91. doi: 10.1016/s0002-8703(05)80189-9. PMID: 2191578

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