Electrocardiographic recognition of right ventricular hypertrophy

Kjell Nikus; Andrés Ricardo Pérez-Riera; Kaari Konttila; Raimundo Barbosa-Barros

doi:10.1016/j.jelectrocard.2017.09.004

Electrocardiographic recognition of right ventricular hypertrophy

J Electrocardiol. 2018 Jan-Feb;51(1):46-49. doi: 10.1016/j.jelectrocard.2017.09.004. Epub 2017 Sep 10.

Authors

Kjell Nikus¹, Andrés Ricardo Pérez-Riera², Kaari Konttila³, Raimundo Barbosa-Barros⁴

Affiliations

¹ Heart Center, Tampere University Hospital, Tampere, Finland; Faculty of Medicine and Life Sciences, University of Tampere, Finland. Electronic address: kjell.nikus@sydansairaala.fi.
² Design of Studies and Scientific Writing Laboratory in the ABC School of Medicine, Santo André, São Paulo, Brazil. Electronic address: https://ekgvcg.wordpress.com.
³ Faculty of Medicine and Life Sciences, University of Tampere, Finland.
⁴ Coronary Center of the Hospital de Messejana Dr. Carlos Alberto Studart Gomes, Fortaleza, Ceara, Brazil.

PMID: 29046220
DOI: 10.1016/j.jelectrocard.2017.09.004

Abstract

The electrocardiogram (ECG) is a relatively insensitive tool for the detection of right ventricular hypertrophy (RVH), but some criteria have high specificity. The recommended ECG screening criteria for RVH are not sufficiently sensitive or specific for screening for mild RVH in adults without clinical cardiovascular disease. The greatest accuracy of the ECG is in congenital heart disease, with intermediate accuracy in acquired heart disease and primary pulmonary hypertension in adults.

Keywords: ECG; ECG screening; Right ventricular hypertrophy.

Publication types

Review

MeSH terms

Electrocardiography*
Heart Defects, Congenital / diagnosis*
Humans
Hypertrophy, Right Ventricular / diagnosis*
Hypertrophy, Right Ventricular / physiopathology
Pulmonary Disease, Chronic Obstructive / diagnosis
Sensitivity and Specificity