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This pattern of T wave inversions in the right precordial leads V1-4
plus the inferior leads (especially the rightward-facing lead III)

is referred to as the right ventricular strain pattern.
It is a marker of right ventricular hypertrophy or dilatation.


 



* Right ventricular Strain :

  • Pulmonary hypertension
  • Mitral stenosis
  • Pulmonary embolism
  • Chronic lung disease (cor pulmonale)
  • Congenital heart disease (e.g. Tetralogy of Fallot, pulmonary stenosis)
  • Arrhythmogenic right ventricular cardiomyopathy
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