Major electrocardiogram findings induced by left ventricular hypertrophy (LVH)

An increase in left ventricular mass augments the amplitude of voltage generated by these fibers and is usually associated with widening of the QRS duration and leftward QRS axis. Furthermore, severe left ventricular hypertrophy is associated with ST depressions and T wave inversions due to alteration in repolarization of hypertrophied muscle and relative subendocardial ischemia. Patients with LVH may also develop abnormalities in left atrial depolarization due to conduction delay or actual atrial enlargement. 



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