Evanescent RVH: LPHB
Report:
Atrial fibrillation, aver. Response 100/min
Right axis deviation +140o
Right bundle branch block
QRV1
Right ventricular hypertrophy or left posterior hemiblock
Comment:
This case illustrates the problem of assigning the origin of RAD. It could be either RVH or LPHB. A subsequent trace, however, showed both LPHB and RBBB to be rate-dependent (Fig 281a). The normal complexes in-between rule out RVH.
281a. No question of RVH now.
282. 86 year old lady with hypertrophic cardiomyopathy
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