What is a common finding in right ventricular hypertrophy on an EKG?

A common finding in right ventricular hypertrophy (RVH) on an EKG is the presence of deep S waves in lead V1. This characteristic occurs due to the increased muscle mass of the right ventricle, which causes alterations in the electrical signals as they are conducted through the heart.

In RVH, the right ventricle works harder than normal, often due to conditions such as pulmonary hypertension or chronic lung disease. This increased workload leads to hypertrophy, which can produce a distinctive pattern on the EKG. The deep S waves in V1 are a direct reflection of the changes in the electrical activity and orientation of the heart due to this hypertrophy, making it a reliable indicator when assessing for RVH on an EKG.

Other options may reflect different cardiac conditions or abnormalities but are not specifically associated with RVH. For instance, prolonged QT intervals are typically related to electrolyte imbalances or certain medications, inverted T waves in limb leads can indicate ischemia or other issues, and high voltage QRS complexes in V5 are more often associated with left ventricular hypertrophy rather than right.