In this course, we review cardiac anatomy relevant to the ECG diagnosis of cardiac chamber enlargement. We teach you how to apply ECG criteria which allow identification of the presence of right and left ventricular hypertrophy or dilatation. We teach you the ECG criteria employed to detect right and left atrial hypertrophy or dilatation. We explain the term ‘atrial abnormality’ in the context of these criteria. We discuss the limitations of ECG criteria in detecting cardiac chamber enlargement. We explain the origin of ST segment and T wave abnormalities in the presence of left ventricular hypertrophy. We illustrate important ECG findings observed in left ventricular hypertrophy which can mimic STEMI.
Planner and Author: Dr John Seery MB PhD
Planner: Dr Karen Strahan PhD (University of Cambridge), Head of Editorial
Planner: Tommy O'Sullivan, CME Manager
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Planners and faculty for this activity have no relevant financial relationships with commercial interests to disclose.
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Van Den Hoogen JPH et al. Reproducibility of electrocardiographic criteria for left ventricular hypertrophy in hypertensive patients in general practice. Eur Heart J. 1992: 13; 1606-1610.
Okin PM et al. Relationship of the Electrocardiographic Strain Pattern to Left Ventricular Structure and Function in Hypertensive Patients: the LIFE Study. J Am Col Cardiol. 2001;38: 514-20.
Acadoodle, Ltd is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Acadoodle, Ltd designates this enduring material activity for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.