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ECG of Left ventricular hypertrophy (LVH) Tall R waves in leads I, aVL, V5 and V6, with deep S waves in leads V1, V2 and V3. The Cornell criteria involve measuring the S wave in lead V3 and the R wave in lead aVL. Left ventricular hypertrophy is indicated by a sum of >28 mm in men and >20 mm in women.
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Certain clinical and laboratory findings may support the diagnosis of end stage RV failure. Severe tricuspid regurgitation and RV dilatation without increased LV filling pressures or pulmonary hypertension are examples of echocardiographic signs supportive of genuine RVD.
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