LVH with repolarization abnormalities occur in which leads?

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Multiple Choice

LVH with repolarization abnormalities occur in which leads?

Left ventricular hypertrophy often brings a strain pattern on the ECG, which is a repolarization abnormality due to the increased LV mass. The repolarization vector shifts in a way that produces ST-segment depression and T-wave inversion most prominently in the lateral wall of the heart. That makes the lateral leads—the ones that reflect the left ventricle’s lateral aspect—show these changes clearly. So the classic sites for LVH with repolarization abnormalities are the lateral leads: I, aVL, and V5–V6. The inferior and anterior leads are less consistently involved with this pattern.

Left ventricular hypertrophy often brings a strain pattern on the ECG, which is a repolarization abnormality due to the increased LV mass. The repolarization vector shifts in a way that produces ST-segment depression and T-wave inversion most prominently in the lateral wall of the heart. That makes the lateral leads—the ones that reflect the left ventricle’s lateral aspect—show these changes clearly. So the classic sites for LVH with repolarization abnormalities are the lateral leads: I, aVL, and V5–V6. The inferior and anterior leads are less consistently involved with this pattern.

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