What happens when you have right ventricular hypertrophy?

Right ventricular hypertrophy (also called right ventricular enlargement) happens when the muscle on the right side of your heart becomes thickened and enlarged. When your heart gets larger, it’s more prone to wear out.

What is the most common cause of right ventricular hypertrophy?

The most common etiology of right ventricular hypertrophy is severe lung disease. The disorders that induce pulmonary hypertension and secondary right ventricular hypertrophy include the following (Table 1): Pulmonary arterial hypertension (PAH)

What is 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.

What is biventricular hypertrophy?

Biventricular hypertrophy. Overview. Biventricular hypertrophy (combined ventricular hypertrophy) = hypertrophy of both the left ventricle and right ventricle. ECG has a low sensitivity for the diagnosis, as the opposing left and right ventricular forces tend to cancel each other out.

How do you fix right ventricular hypertrophy?

When RVH is caused by pulmonary hypertension, doctors will prescribe specific drugs to treat that condition. These medications include vasodilators or blood vessel dilators. Some drugs that are used for erectile dysfunction in men can also help open up the pulmonary arteries and may be used for RVH.

Can RVH be benign?

RVH can be benign and have little impact on day-to-day life or it can lead to conditions such as heart failure, which has a poor prognosis.

Is right ventricular hypertrophy curable?

Currently, there is no treatment to reverse the thickening of these walls completely, although ACE inhibitors have been shown to help. Preventing right ventricular hypertrophy from getting worse is possible in many cases.

How do you determine right ventricular hypertrophy 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.

What causes right ventricular enlargement?

Causes. RVH usually occurs due to chronic lung disease or structural defects in the heart. One of the most common causes of RVH is pulmonary hypertension (PH), defined as increased blood pressure in the vessels supplying blood to the lungs. PH leads to increased pulmonary artery pressure.

What causes right sided heart enlargement?

High blood pressure in the arteries in the lungs (pulmonary hypertension). The heart has to work harder to move blood between the lungs and the heart. The strain may lead to thickening or enlargement of the right side of the heart.

How is RVH diagnosed on ECG?