Cardiophile MD

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Right atrial overload is manifest as tall P waves in lead II and left ventricular hypertrophy with strain pattern is seen in lateral leads with tall R waves, ST segment depression and T wave inversion. The axis is leftward with predominantly negative QRS in leads III and aVF. [...]

Atrial fibrillation with slow ventricular rate and left ventricular hypertrophy. Slow ventricular rate is due to suppresion of the atrioventricular conduction either due to drugs or due to disease of the atrioventricular node. Left ventricular hypertrophy is manifest as tall R waves with ST segment depression in lateral leads. Digoxin effect could also contribute both [...]

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ECG shows T wave inversion in lateral leads I, aVl, V5 and V6, suggestive of lateral wall ischemia. Deep S waves in V2 and tall R waves in V5 give an indication of left ventricular hypertrophy, though the S wave in V1 is not that deep and the [...]

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The tracing shows mild ST segment depression in inferior leads (II, III and aVf) and T wave inversion in leads I, aVl and V3 to V6. There is a pathological Q wave in aVl (width more than 40 msec). R waves are tall in V5 and V6 suggesting [...]

What are the findings and their interpretations?
Tall R waves in V4 and V5 with down sloping ST segment depression and T wave inversion are suggestive of left ventricular hypertrophy (LVH) with strain pattern. LVH with strain pattern usually occurs in pressure overload of the left ventricle as in systemic hypertension or aortic stenosis. Similar pattern [...]