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Left ventricular aneurysm electrocardiogram

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Overview

The most common ECG finding in LV aneurysm is persistent ST elevation.

Electrocardiogram

Electrocardiogram

  • Persistent ST elevation is suggestive of LV aneurysm.[1]
  • Shown below is an example of an EKG of a person with a left ventricular aneurysm. Note the ST elevation in the anterior leads.
  • True aneurysms distort the shape of the left ventricle during both diastole and systole, with paradoxical motion of the aneurysmal segment. Associated ST changes including ST elevation may occur, especially at high heart rates which may occur during exercise.
References

References

  1. Mourdjinis A, Olsen E, Raphael MJ, Mounsey JP (1968). “Clinical diagnosis and prognosis of ventricular aneurysm”. Br Heart J. 30 (4): 497–513. PMC 487659. PMID 5659397.


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