RIGHT VENTRICULAR HYPERTROPHY | ECG, ETIOLOGY AND TREATMENT | Dr. Devesh Bhargude | fit_doctor

Описание: Welcome to this detailed cardiology masterclass on Right Ventricular Hypertrophy (RVH)—a critical but often underappreciated finding in clinical practice. In this in-depth video, we will systematically analyze RVH from a diagnostic, etiological, and therapeutic perspective, with a special focus on ECG interpretation according to the Type A, B, and C classification.

📌 What You’ll Learn:
✅ Electrocardiographic Diagnosis of RVH:

Review of standard 12-lead ECG criteria.

In-depth discussion of Type A RVH (dominant R in V1 with right axis deviation), Type B RVH (qR in V1 pattern), and Type C RVH (less typical patterns with RV strain or incomplete criteria).

Recognizing strain patterns and secondary repolarization changes in right precordial and inferior leads.

Pitfalls and differential diagnoses in ECG interpretation.

✅ Etiology of RVH:

Pulmonary hypertension (group 1–5 PH).

Chronic obstructive pulmonary disease (COPD) and cor pulmonale.

Congenital heart diseases (ASD, VSD, Tetralogy of Fallot, pulmonary stenosis).

Left heart disease causing secondary pulmonary hypertension.

Pulmonary embolism (acute vs. chronic RV strain).

Miscellaneous causes (sleep apnea, interstitial lung disease, chronic thromboembolic PH).

✅ Pathophysiology:

RV pressure overload vs. volume overload mechanisms.



✅ Treatment Strategies:

Evidence-based pharmacologic therapy tailored to etiology (pulmonary vasodilators, diuretics, oxygen therapy, anticoagulation when indicated).

Management of underlying conditions (COPD optimization, sleep apnea treatment, congenital heart defect repair).

Advanced therapies (prostanoids, endothelin receptor antagonists, phosphodiesterase-5 inhibitors for pulmonary arterial hypertension).

Surgical and interventional options (pulmonary endarterectomy for CTEPH, atrial septostomy, RV assist devices in severe failure).

Monitoring and prognostication (echocardiography, right heart catheterization).

✅ Clinical Pearls and Guidelines:

2023 ESC/ERS Guidelines on Pulmonary Hypertension.

ACC/AHA Recommendations for Adult Congenital Heart Disease.


Practical approach to RVH in outpatient and inpatient settings.
If you found this video helpful, don’t forget to like, comment, and subscribe for more cardiology-focused content every week!