(Case 5) Left ventricular hypertrophy—12-lead ECG demonstrating NSR with LVH. The ST segment depression in the lateral leads (I, aVl, V5, and V6) is seen.

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Presentation transcript:

(Case 5) Left ventricular hypertrophy—12-lead ECG demonstrating NSR with LVH. The ST segment depression in the lateral leads (I, aVl, V5, and V6) is seen in approximately 70% of patients with electrocardiographic LVH; such a finding has been termed the “strain pattern.” While this finding may represent altered repolarisation attributable to the presence of LVH, it may also be a manifestation of myocardial ischaemia. (Case 5) Left ventricular hypertrophy—12-lead ECG demonstrating NSR with LVH. The ST segment depression in the lateral leads (I, aVl, V5, and V6) is seen in approximately 70% of patients with electrocardiographic LVH; such a finding has been termed the “strain pattern.” While this finding may represent altered repolarisation attributable to the presence of LVH, it may also be a manifestation of myocardial ischaemia. The clinical history as well as the results of other investigations will guide the doctor in determining the diagnosis and appropriate disposition. T Pollehn et al. Emerg Med J 2002;19:129-135 Copyright © BMJ Publishing Group Ltd and the College of Emergency Medicine. All rights reserved.