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LVH may be a factor in determining treatment or diagnosis for other conditions, for example, LVH is used in the staging and risk stratification of Non-ischemic cardiomyopathies such as Fabry's Disease. [16] Patients with LVH may have to participate in more complicated and precise diagnostic procedures, such as echocardiography or cardiac MRI ...
It also makes the electrocardiographic diagnosis of LVH more complicated, because both may cause a large R wave in lead aVL. Therefore, to call LVH on an EKG in the setting of an LAHB you should see the presence of a "strain pattern" when you are relying on limb lead criteria to diagnose LVH. [citation needed]
Left axis deviation symptoms depend on the underlying cause. [5] For example, if left ventricular hypertrophy is the cause of LAD, symptoms can include shortness of breath, fatigue, chest pain (especially with exercise), palpitations, dizziness, or fainting. [6]
Regarding differential diagnosis, left ventricular hypertrophy is usually indistinguishable from athlete's heart and at ECG, but can usually be discounted in the young and fit. [ 15 ] [ 16 ] It is important to distinguish between athlete's heart and hypertrophic cardiomyopathy (HCM), a serious cardiovascular disease characterized by thickening ...
evaluating chest pain when you have ambiguous or hard-to-interpret ECG results due to left ventricular hypertrophy, drugs, or bundle branch block. assessing congenital anomalies of the coronary artery
Electrocardiogram (EKG), a non-invasive assessment of the electrical system of the heart, can be useful in determining the degree of hypertrophy, as well as subsequent dysfunction it may precipitate. Specifically, an increase in Q wave size, abnormalities in the P wave , as well as giant inverted T waves , are indicative of significant ...
Myocardial infarction (MI) is often difficult to detect when LBBB is present on ECG. A large clinical trial of thrombolytic therapy for MI (GUSTO-1) evaluated the electrocardiographic diagnosis of evolving MI in the presence of LBBB. The rule was defined by Dr. Elena Sgarbossa, Argentine- born American cardiologist. [2]
While there is use of echocardiography, cardiac catheterization, or cardiac MRI in the diagnosis of the disease, other important considerations include ECG, genetic testing (although not primarily used for diagnosis), [35] and any family history of HCM or unexplained sudden death in otherwise healthy individuals.
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