LVH with ST/T Changes

Report:

Sinus bradycardia 49/min

Left atrial abnormality

Left ventricular hypertrophy with ST/T changes

Comment:

There are typical repolarisation changes in all the leads; the voltage criteria offer an embarrassment of riches.

The LAA is part of LVH criteria in some sets.

There are prominent U waves in most leads, also due to LVH (and perhaps bradycardia).

LVH commonly predisposes to AF (Fig 58a below) and may be, epidemiologically, its major cause.

58a. AF with “controlled” ventricular response 78/min.

59. 78 year old lady transferred from a peripheral hospital after cardiac arrest in VF

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