Electrocardiogram Machine interpretations

[Lauren999]

Hey does anyone know what it means when an ECG interpretation says "Minimal Voltage Criteria for LVH" ?
and what does LVH mean? I have atrial flutter and Bigeminy PVC's and everytime i have an EKG it always says....minimal voltage criteria....bla bla bla.....borderline ECG.  But no one has explained the significance.

Also what does "Aberrant Conduction" mean on an EKG?

[Lauren999]

Hey, thanks for that.

Well i have had an echo, although they had serious trouble actually seeing my heart... about four people came into the room. they said my ribs were very close together and although i am skinny they had a really pathetic view of my heart. The EP cardiologist still reviewed the echo and said it was ok. I do have really high blood pressure 185/115, so maybe that together with the bigeminy and tachy episodes are to blame for the supposed borderline LVH. Its so frustrating when your handed a script for verapamil and told to go away for 2 months..... However on a positive note, a friend of mine at work is an Anaesthetist so im gonna ask him to look at my ECG's and see what he reckons......not a cardiologist, but worth a try. Im hoping he might have some theories about my SOB and Tachycardia on minimal exertion.

[Brooke_38]

  SVT is usually appears as a narrow complex tachycardia but with aberrantly conducted beats it will appear as a wide complex tachycardia (resembling V-Tach).

SVT typically originates in atrial tissue  (AV junction) and utilizes the normal atrioventricular (AV) conduction system for ventricular activation. Aberrance occurs when there is delay or block in the His-Purkinje system during antegrade conduction of impulses over the normal AV fascicles. Essentially, all types of SVT with aberrant conduction can present as a wide complex tachycardia. These include AT, AVNRT, AVRT, and other rare forms of SVT.

[RNRita]

Hi.  LVH is left ventricular hypertrophy.  I believe that it is saying you have a minimal amount of the criteria they are using as parameters to have this.  It means, if this is correct, that you have borderline LVH.  Usually not a cause for concern.  Did they mention what you could do about it?