Left Ventricular Hypertrophy May Result in Profound ST Elevation
Posted Oct 13 2009 10:05pm
This 75 year old man presented with weakness. His blood pressure was 220/80. He was found to have renal failure. He ruled out for MI.
There are 4 mm of ST elevation in leads V2 and V3, but it not out of proportion to the very large (> 50 mm) preceding S-wave. This is typical of severe LVH with repolarization abnormalities.
It would be an unusual EKG for anterior STEMI.
In fact, it is very difficult to find a case of anterior MI with extreme voltage like this; this is probably because profound ischemia of LAD occlusion (STEMI) alters the QRS voltage and attenuates the severity of the electrocardiographic LVH voltage.
If anyone out there has such a case (proven LAD occlusion with very large voltage suggestive of LVH), please send it to me!
It would be an unusual EKG for anterior STEMI.
In fact, it is very difficult to find a case of anterior MI with extreme voltage like this; this is probably because profound ischemia of LAD occlusion (STEMI) alters the QRS voltage and attenuates the severity of the electrocardiographic LVH voltage.
If anyone out there has such a case (proven LAD occlusion with very large voltage suggestive of LVH), please send it to me!