U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

ECG: right ventricle hypertrophy

MedGen UID:
65427
•Concept ID:
C0232305
•
Finding
Synonyms: ECG: RVH - right ventricle hypertrophy; Right Ventricular Hypertrophy by ECG Finding; Right Ventricular Hypertrophy by EKG Finding
SNOMED CT: ECG: right ventricle hypertrophy (164877000); ECG: RVH - right ventricle hypertrophy (164877000)

Definition

An electrocardiographic finding suggestive of a hypertrophied right ventricle, characterized by large R wave amplitudes in the right precordial leads and secondary findings of right atrial enlargement, right axis deviation, and typical pattern of ST depression and T wave inversion in the right precordial leads. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVECG: right ventricle hypertrophy

Professional guidelines

PubMed

Diagnostic utility of 31 ECG criteria for predicting echocardiographic left ventricular geometry.
De-la-Garza-Salazar F
Arch Cardiol Mex 2022;92(4):492-501. doi: 10.24875/ACM.21000304. PMID: 36413698Free PMC Article
Adult ECG criteria for left ventricular hypertrophy in young competitive athletes.
Speranza G, Magaudda L, de Gregorio C
Int J Sports Med 2014 Mar;35(3):253-8. Epub 2013 Jul 30 doi: 10.1055/s-0033-1345180. PMID: 23900896
Immune-mediated and autoimmune myocarditis: clinical presentation, diagnosis and management.
Caforio AL, Marcolongo R, Jahns R, Fu M, Felix SB, Iliceto S
Heart Fail Rev 2013 Nov;18(6):715-32. doi: 10.1007/s10741-012-9364-5. PMID: 23114995

Recent clinical studies

Etiology

Comprehensive bioinformatics analysis identifies LAPTM5 as a potential blood biomarker for hypertensive patients with left ventricular hypertrophy.
Li T, Wang W, Gan W, Lv S, Zeng Z, Hou Y, Yan Z, Zhang R, Yang M
Aging (Albany NY) 2022 Feb 14;14(3):1508-1528. doi: 10.18632/aging.203894. PMID: 35157609Free PMC Article
Electocardiographic features in Ebstein's disease.
Saoussen A, Sana O, Kaouther H, Hela M, Fatma O
Tunis Med 2021 Juin;99(6):614-622. PMID: 35244913Free PMC Article
The adolescent athlete's heart; A miniature adult or grown-up child?
Pieles GE, Stuart AG
Clin Cardiol 2020 Aug;43(8):852-862. Epub 2020 Jul 9 doi: 10.1002/clc.23417. PMID: 32643161Free PMC Article
Morphofunctional Abnormalities of Mitral Annulus and Arrhythmic Mitral Valve Prolapse.
Perazzolo Marra M, Basso C, De Lazzari M, Rizzo S, Cipriani A, Giorgi B, Lacognata C, Rigato I, Migliore F, Pilichou K, Cacciavillani L, Bertaglia E, Frigo AC, Bauce B, Corrado D, Thiene G, Iliceto S
Circ Cardiovasc Imaging 2016 Aug;9(8):e005030. doi: 10.1161/CIRCIMAGING.116.005030. PMID: 27516479Free PMC Article
Left ventricular non-compaction cardiomyopathy.
Towbin JA, Lorts A, Jefferies JL
Lancet 2015 Aug 22;386(9995):813-25. Epub 2015 Apr 9 doi: 10.1016/S0140-6736(14)61282-4. PMID: 25865865

Diagnosis

Electro- and echocardiographic features of left ventricle hypertrophy in patients with hypertrophic cardiomyopathy.
Bula K, Bisaga J, Feret B, Razik M, Rozpiątkowska B, Tometczak M, Mizia-Stec K
Ann Noninvasive Electrocardiol 2022 Sep;27(5):e12992. Epub 2022 Jul 19 doi: 10.1111/anec.12992. PMID: 35855565Free PMC Article
The adolescent athlete's heart; A miniature adult or grown-up child?
Pieles GE, Stuart AG
Clin Cardiol 2020 Aug;43(8):852-862. Epub 2020 Jul 9 doi: 10.1002/clc.23417. PMID: 32643161Free PMC Article
Differentiating Athlete's Heart From Cardiomyopathies - The Left Side.
Brosnan MJ, Rakhit D
Heart Lung Circ 2018 Sep;27(9):1052-1062. Epub 2018 May 16 doi: 10.1016/j.hlc.2018.04.297. PMID: 29891249
Left ventricular hypertrophy: The relationship between the electrocardiogram and cardiovascular magnetic resonance imaging.
Bacharova L, Ugander M
Ann Noninvasive Electrocardiol 2014 Nov;19(6):524-33. Epub 2014 Nov 4 doi: 10.1111/anec.12223. PMID: 25367364Free PMC Article
ECG poor R-wave progression: review and synthesis.
Zema MJ, Kligfield P
Arch Intern Med 1982 Jun;142(6):1145-8. PMID: 6212033

Therapy

Cardiac Phenotype of Prehypertrophic Fabry Disease.
Nordin S, Kozor R, Baig S, Abdel-Gadir A, Medina-Menacho K, Rosmini S, Captur G, Tchan M, Geberhiwot T, Murphy E, Lachmann R, Ramaswami U, Edwards NC, Hughes D, Steeds RP, Moon JC
Circ Cardiovasc Imaging 2018 Jun;11(6):e007168. doi: 10.1161/CIRCIMAGING.117.007168. PMID: 29853467Free PMC Article
Morphofunctional Abnormalities of Mitral Annulus and Arrhythmic Mitral Valve Prolapse.
Perazzolo Marra M, Basso C, De Lazzari M, Rizzo S, Cipriani A, Giorgi B, Lacognata C, Rigato I, Migliore F, Pilichou K, Cacciavillani L, Bertaglia E, Frigo AC, Bauce B, Corrado D, Thiene G, Iliceto S
Circ Cardiovasc Imaging 2016 Aug;9(8):e005030. doi: 10.1161/CIRCIMAGING.116.005030. PMID: 27516479Free PMC Article
Left ventricular non-compaction cardiomyopathy.
Towbin JA, Lorts A, Jefferies JL
Lancet 2015 Aug 22;386(9995):813-25. Epub 2015 Apr 9 doi: 10.1016/S0140-6736(14)61282-4. PMID: 25865865
Detection of cardiovascular disease in elite athletes using cardiac magnetic resonance imaging.
Mangold S, Kramer U, Franzen E, Erz G, Bretschneider C, Seeger A, Claussen CD, Niess AM, Burgstahler C
Rofo 2013 Dec;185(12):1167-74. Epub 2013 Jul 29 doi: 10.1055/s-0033-1350130. PMID: 23897528
Resistant hypertension and left ventricular hypertrophy: an overview.
Cuspidi C, Vaccarella A, Negri F, Sala C
J Am Soc Hypertens 2010 Nov-Dec;4(6):319-24. doi: 10.1016/j.jash.2010.10.003. PMID: 21130978

Prognosis

Eisenmenger syndrome - an electrocardiographic and echocardiographic assessment of the right ventricle.
Valkovicova T, Kaldararova M, Reptova A, Bohacekova M, Bacharova L, Hatala R, Simkova I
Bratisl Lek Listy 2018;119(6):321-329. doi: 10.4149/BLL_2018_060. PMID: 29947230
Human γ2-AMPK Mutations.
Yavari A, Sarma D, Sternick EB
Methods Mol Biol 2018;1732:581-619. doi: 10.1007/978-1-4939-7598-3_37. PMID: 29480501
Morphofunctional Abnormalities of Mitral Annulus and Arrhythmic Mitral Valve Prolapse.
Perazzolo Marra M, Basso C, De Lazzari M, Rizzo S, Cipriani A, Giorgi B, Lacognata C, Rigato I, Migliore F, Pilichou K, Cacciavillani L, Bertaglia E, Frigo AC, Bauce B, Corrado D, Thiene G, Iliceto S
Circ Cardiovasc Imaging 2016 Aug;9(8):e005030. doi: 10.1161/CIRCIMAGING.116.005030. PMID: 27516479Free PMC Article
The right ventricle in pulmonary arterial hypertension: disorders of metabolism, angiogenesis and adrenergic signaling in right ventricular failure.
Ryan JJ, Archer SL
Circ Res 2014 Jun 20;115(1):176-88. doi: 10.1161/CIRCRESAHA.113.301129. PMID: 24951766Free PMC Article
The spatial QRS-T angle: implications in clinical practice.
Voulgari C, Pagoni S, Tesfaye S, Tentolouris N
Curr Cardiol Rev 2013 Aug;9(3):197-210. doi: 10.2174/1573403x113099990031. PMID: 23909632Free PMC Article

Clinical prediction guides

ECG in the clinical and prognostic evaluation of patients with pulmonary arterial hypertension: an underestimated value.
Michalski TA, Pszczola J, Lisowska A, Knapp M, Sobkowicz B, Kaminski K, Ptaszynska-Kopczynska K
Ther Adv Respir Dis 2022 Jan-Dec;16:17534666221087846. doi: 10.1177/17534666221087846. PMID: 35442108Free PMC Article
Electocardiographic features in Ebstein's disease.
Saoussen A, Sana O, Kaouther H, Hela M, Fatma O
Tunis Med 2021 Juin;99(6):614-622. PMID: 35244913Free PMC Article
Eisenmenger syndrome - an electrocardiographic and echocardiographic assessment of the right ventricle.
Valkovicova T, Kaldararova M, Reptova A, Bohacekova M, Bacharova L, Hatala R, Simkova I
Bratisl Lek Listy 2018;119(6):321-329. doi: 10.4149/BLL_2018_060. PMID: 29947230
The spatial QRS-T angle: implications in clinical practice.
Voulgari C, Pagoni S, Tesfaye S, Tentolouris N
Curr Cardiol Rev 2013 Aug;9(3):197-210. doi: 10.2174/1573403x113099990031. PMID: 23909632Free PMC Article
ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance.
Zehender M, Meinertz T, Keul J, Just H
Am Heart J 1990 Jun;119(6):1378-91. doi: 10.1016/s0002-8703(05)80189-9. PMID: 2191578

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...