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Hypertension, LVH, echo…and stuff

June 2015 Br J Cardiol 2015;22:65–6

Hypertension, LVH, echo…and stuff

Heather Wetherell

Abstract

A 56-year-old woman attends for a well-woman blood pressure (BP) check. After three repeated measurements, a minute apart, her mean BP is 146/90 mmHg so the practice nurse decides to do an electrocardiogram (ECG), in accordance with the practice protocol. Figure 1 shows the ECG obtained. Figure 1. The electrocardiogram obtained during the well-woman check What is your impression? Does she need any further investigations? Discussion The main purpose of showing this ECG is to discuss the various voltage criteria for left ventricular hypertrophy (LVH). Interestingly, there is no one universally agreed criteria for diagnosis of LVH by ECG.  A fe

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