Electrocardiogram and Vectorcardiogram in Right Ventricular Hypertrophy and Right Bundle-Branch Block

Author:

MILNOR W. R.1,Bertrand Charles A.1,Mugler Frederick R.1

Affiliation:

1. From the Department of Medicine, The Johns Hopkins University and Hospital, Baltimore, Md.

Abstract

Electrocardiographic and vectorcardiographic studies on normal subjects and patients with heart disease suggest that criteria for the diagnosis of right ventricular hypertrophy can be improved and simplified. This report proposes new criteria for the electrocardiographic diagnosis of right ventricular hypertrophy. These criteria decrease the incidence of "false negative" and "false positive" interpretations, and also make possible the recognition of right ventricular hypertrophy in the presence of the R' - V 1 pattern, provided the QRS duration is less than 0.12 second. The findings and limitations of vectorcardiography in right ventricular hypertrophy and "right bundle-branch block" are discussed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference35 articles.

1. The electrocardiographic diagnosis of right Ventricular hypertrophy;MYERS G. B.;Am. Heart J.

2. The ventricular complex in right ventricular hypertrophy as obtained by unipolar precordial and limb leads

3. A graphic application of the principle of the equilateral triangle for determining the direction of the electrical axis of the heart in the human electrocardiogram;CARTER E.;Bull. Johns Hopkins Hosp.,1919

4. A Study of the Relationship between Unipolar Leads and Spatial Vectorcardiograms, Using the Panoramic Vectorcardiograph

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