- tall R wave in V1
- T inversion V1-V3/V4
- deep S in V6
- right axis
- RBBB
left ventricular hypertrophy
1) R wave in V6 greater than 25mm
2) R wave in V6 plus S in V1 greater than 35mm
3) Inverted T in V1 ,VL, V5-V6
left atrial hypertrophy
1) Bifid P wave
right atrial hypertrophy
1) Peaked P wave
myocardial infarction
1) Normal ECG
2) Raised ST segment
3) Appearance of Q wave
4) Normalisation of ST segment
5) Invertion of T wave
*Site of infarction
Þ Anterior infarction – changes in V2 – V5
Þ Inferior infarction – changes in III and aVF
Þ Lateral infarction – changes in I, aVL, V6
Þ True posterior infarction – dominant R in V1
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