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The left ventricle hypertrophies in response to pressure overload secondary to conditions such as aortic stenosis and hypertension. This results in increased R wave amplitude in the left-sided ECG leads (I, aVL and V4-6) and increased S .
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Left ventricular hypertrophy, or LVH, is a term for a heart’s left pumping chamber that has thickened and may not be pumping efficiently. Sometimes problems such as aortic stenosis or high blood pressure overwork the heart muscle. In response to this pressure overload, the inner walls of the heart may respond by getting thicker.
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