II. Pathophysiology
- Increased right ventricular Muscle mass in response to increased right sided pressures
III. Findings
IV. Causes
- Pulmonary Hypertension
- Significant tricuspid regurgitation
V. Diagnostics: Electrocardiogram (EKG)
- Reversal of precordial pattern
- Tall R in V1 and V2 (R >=7 mm in V1) or qR pattern in lead V1
- Deep S in V5 and V6
- Total Rv1 + Sv6 (or Sv5) > 10.5 mm
- Late Intrinsicoid Deflection in V1 and V2 (V1 deflection > 0.035 seconds)
- Right Axis Deviation (>90 degrees)
- Normal QRS Duration
- Incomplete Right Bundle Branch Block
-
ST segment Depression in inferior leads (strain pattern)
- Upward convexity
- Inverted T Waves in V1 and V2
- Right atrial hypertrophy (P Pulmonale)
VI. Diagnostics: Echocardiogram
- Evaluate Tricuspid Valve for tricuspid regurgitation
- Evaluate Right chamber sizes and right ventricular function
- Estimate pulmonary artery systolic pressure
- Evaluate for concurrent left heart disease
VII. Management
- See Pulmonary Hypertension
- See Tricuspid Regurgitation
VIII. References
- Bhattacharya (2021) StatPearls, accessed 2/23/2021
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Related Studies
| Definition (MSHCZE) | Zvětšení pravé komory srdeční. Nárůst ventrikulární hmotnosti lze přičíst HYPERTENZI PLICNÍ a to bývá často jednou z příčin kardiovaskulární morbidity a mortality. R |
| Definition (NCI_FDA) | Enlargement or overgrowth of the myocardium of the right ventricle, due chronic pressure overload. |
| Definition (NCI) | Enlargement or overgrowth of the myocardium of the right ventricle, due chronic pressure overload. |
| Definition (MSH) | Enlargement of the RIGHT VENTRICLE of the heart. This increase in ventricular mass is often attributed to PULMONARY HYPERTENSION and is a contributor to cardiovascular morbidity and mortality. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D017380 |
| SnomedCT | 290931000009103, 89792004, 308521000009101 |
| English | Ventricular Hypertrophy, Right, Hypertrophy, Right Ventricular, Hypertrophies, Right Ventricular, Right Ventricular Hypertrophies, Ventricular Hypertrophies, Right, RVH - Right ventr hypertrophy, Right Ventricular Hypertrophy, RVH, right ventricular hypertrophy, right ventricular enlargement, hypertrophy of right ventricle (diagnosis), hypertrophy of right ventricle, right ventricular enlargement (diagnosis), Hypertrophy, Right Ventricular [Disease/Finding], hypertrophy right ventricular, rvh, Hypertrophy;ventricular;right, enlargement right ventricular, Enlarged right ventricle, Cardiomegaly of right ventricle, Right ventricular enlargement, Right ventricle hypertrophied, Enlarged right ventricle (finding), Cardiomegaly of right ventricle (disorder), RIGHT VENTRICULAR HYPERTROPHY, HYPERTROPHY, RIGHT VENTRICULAR, VENTRICULAR HYPERTROPHY, RIGHT, RV hypertrophy, RVH - Right ventricular hypertrophy, Right ventricular hypertrophy, Right ventricular hypertrophy (disorder) |
| Dutch | rechterventrikelvergroting, rechterventrikelhypertrofie, Hypertrofie, rechterventrikel-, Rechterventrikelhypertrofie, Ventrikelhypertrofie, rechter- |
| French | Augmentation de taille du ventricule droit, HVD, Hypertrophie ventriculaire droite, HVD (Hypertrophie Ventriculaire Droite) |
| Italian | Ingrandimento ventricolare destro, Ipertrofia ventricolare destra, Ipertrofia del ventricolo destro |
| Portuguese | Aumento do ventrículo direito, Hipertrofia do ventrículo direito, Hipertrofia Ventricular Direita |
| Spanish | Aumento del ventrículo derecho, HVD, Hipertrofia ventricular derecha, hipertrofia del ventrículo derecho, hipertrofia ventricular derecha (trastorno), hipertrofia ventricular derecha, Hipertrofia Ventricular Derecha |
| Japanese | 右室拡大, ｳｼﾂｶｸﾀﾞｲ, ｳｼﾂﾋﾀﾞｲ, RVH, ＲＶＨ, 右室肥大, 右心室肥大, 肥大右室, 肥大右心室 |
| Swedish | Hjärtkammarförstoring, högersidig |
| German | Rechtsherzhypertrophie, RVH, Vergroesserung des rechten Ventrikels, Hypertrophie, rechtsventrikuläre, Rechtsventrikuläre Hypertrophie, Ventrikuläre Hypertrophie, Rechts- |
| Czech | srdce - hypertrofie pravé komory, Hypertrofie pravé komory, Zvětšení pravé komory, hypertrofie pravé komory srdeční, hypertrofie pravé srdeční komory |
| Finnish | Oikean kammion hypertrofia |
| Russian | PRAVOZHELUDOCHKOVAIA GIPERTROFIIA, SERDTSA PRAVOGO ZHELUDOCHKA GIPERTROFIIA, GIPERTROFIIA PRAVOGO ZHELUDOCHKA SERDTSA, SERDTSA ZHELUDOCHKA PRAVOGO GIPERTROFIIA, PRAVOGO ZHELUDOCHKA GIPERTROFIIA, ГИПЕРТРОФИЯ ПРАВОГО ЖЕЛУДОЧКА СЕРДЦА, ПРАВОГО ЖЕЛУДОЧКА ГИПЕРТРОФИЯ, ПРАВОЖЕЛУДОЧКОВАЯ ГИПЕРТРОФИЯ, СЕРДЦА ЖЕЛУДОЧКА ПРАВОГО ГИПЕРТРОФИЯ, СЕРДЦА ПРАВОГО ЖЕЛУДОЧКА ГИПЕРТРОФИЯ |
| Croatian | HIPERTROFIJA DESNE KLIJETKE |
| Polish | Przerost komory serca prawej, Przerost prawej komory |
| Hungarian | Jobb kamra hypertrophia, Jobb ventricularis megnagyobbodás, RVH |
| Norwegian | Høyre ventrikkel-hypertrofi, Hypertrofi, høyre ventrikkel, Ventrikkelhypertrofi, høyre |
Ontology: Electrocardiogram: right ventricle hypertrophy (finding) (C0232305)
| Definition (NCI) | 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) |
| Definition (NCI_CDISC) | 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. |
| Concepts | Laboratory or Test Result (T034) |
| SnomedCT | 164880004, 164877000, 89596004, 142037001, 142040001 |
| English | ECG: RVH NOS, Ekg Right Ventricular Hypertrophy, ECG: right ventricle hypertrophy (finding), ECG: right ventricle hypertrophy, Electrocardiogram: right ventricle hypertrophy, ECG: RVH - right ventricle hypertrophy, ECG right ventricular hypertrophy, right ventricular hypertrophy, Electrocardiogram: right ventricle hypertrophy (finding), electrocardiogram: right ventricular hypertrophy, electrocardiogram: right ventricular hypertrophy (procedure), Right Ventricular Hypertrophy by ECG Finding, Right ventricular hypertrophy by EKG, RVH by EKG, ECG:right ventricle hypertrop. (finding), Right ventricular hypertrophy by EKG (finding), Electrocardiogram: right ventricle hypertrophy NOS (finding), Electrocardiogram: right ventricle hypertrophy NOS, ECG: RVH NOS (finding), Right Ventricular Hypertrophy by EKG Finding, Right ventricular Hypertrophy, RIGHT VENTRICULAR HYPERTROPHY, ECG:right ventricle hypertrop. |
| Spanish | ECG: HVD, ECG: hipertrofia del ventrículo derecho, signos electrocardiográficos de hipertrofia del ventrículo derecho, ECG con signos de HVD, ECG: RVH NOS, electrocardiograma: hipertrofia ventricular derecha, SAI (hallazgo), signos electrocardiográficos de hipertrofia ventricular derecha, ECG: HVD, SAI, signos electrocardiográficos de hipertrofia ventricular derecha (hallazgo), electrocardiograma: hipertrofia ventricular derecha, SAI, ECG: hipertrofia ventricular derecha, SAI, ECG: hipertrofia ventricular derecha, electrocardiograma: hipertrofia ventricular derecha (hallazgo), electrocardiograma: hipertrofia ventricular derecha |
