What is Sokolow Lyon index?

The most popular index was developed and published in 1949 by Maurice Sokolow and Thomas P. Lyon, and is calculated as the sum of the amplitudes of the S-wave in V1 and the R-wave in V5 or V6 (whichever is larger) [6].

How is RVH diagnosed on ECG?

RVH is diagnosed on ECG in the presence of a R/S ratio of greater than 1 in lead V1 in the absence of other causes, or if the R wave in lead V1 is greater than 7 millimeters tall. The strain pattern occurs when the right ventricular wall is quite thick, and the pressure is high, as well.

How serious is LVH?

Left untreated, LVH (and related underlying heart conditions) increases your risk of serious heart disease or even death. Treatment to slow or stop the progression of left ventricular hypertrophy lowers the risk of severe heart damage.

What causes left ventricle enlargement?

LVH is usually caused by high blood pressure. It may also be caused by a heart problem, such as hypertrophic cardiomyopathy or a heart valve problem like aortic valve stenosis.

How is RVH different from Rbbb?

How to diagnose RVH in RBBB?

  1. Look at the r’ wave if its taller than initial r by more than 5mm suggest RVH (Not absolute evidence though)
  2. Look for other evidence like Right axis , RV strain etc.

What is right VCD or RVH?

The right side of your heart pumps blood to your lungs to receive oxygen. The left side pumps the oxygenated blood to the rest of your body. Right ventricular hypertrophy (also called right ventricular enlargement) happens when the muscle on the right side of your heart becomes thickened and enlarged.

How do you diagnose LVH using Sokolow Lyon criteria?

Sokolow-Lyon Criteria: Add the S wave in V1 plus the R wave in V5 or V6. If the sum is greater than 35 mm, LVH is present. Romhilt-Estes LVH Point Score System: If the score equals 4, LVH is present with 30% to 54% sensitivity. If the score is greater than 5, LVH is present with 83% to 97% specificity.

How can I lower my LVH?

Lifestyle and home remedies

  1. Quitting smoking.
  2. Losing weight. Left ventricular hypertrophy is often found in people who are obese regardless of blood pressure.
  3. Eating a heart-healthy diet.
  4. Limiting salt in your diet.
  5. Drinking alcohol in moderation, if at all.
  6. Getting regular physical activity.
  7. Managing stress.