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ECG changes in left ventricular hypertrophy (LVH) and right ventricular hypertrophy (RVH). The electrical vector of the left ventricle is enhanced in LVH, which results in large R-waves in left-sided leads (V5, V6, aVL and I) and deep .
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LVOT ACC (m/s 2) = Vmax (m/s)/ACT (s). When systolic function is normal, the LV ejection curve resembles a sharp-angled triangle. With impaired left ventricular function, the ejection curve becomes flattened and rounded, i.e., with a decreased peak velocity and an increased ACT.
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