ECG in Systemic Hypertension

Systemic Hypertension may manifest electrocardiographically in the following manner:-

  • Electrocardiographic signs of left venticular hypertrophy due to systolic overload
  • Electrocardiographic signs of left atrial abnormality
  • Left Axis Deviation because of chronic systemic hypertension

ECG features of Left Ventricular Hypertrophy

  • There are deep S waves in the right oriented leads
  • Tall R waves in the left oriented lead
  • The sum of S wave in leads V1 and R wave in lead V6 is 50mm

ECG features of Left Ventricular systolic overload

  • There is a wide frontal plane QRS-T angle
  • T wave is inverted in Left oriented leads

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