HomeAnswersCardiologyleft ventricular hypertrophyWill a chest X-ray show left ventricular hypertrophy?

I want to know whether a chest X-ray can show left ventricular hypertrophy.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At July 23, 2021
Reviewed AtJuly 13, 2023

Patient's Query

Hi doctor,

I want to know whether a chest X-ray can show left ventricular hypertrophy (LVH).

Hi,

Welcome to icliniq.com.

Chest X-ray cannot show left ventricular hypertrophy (LVH). If your left ventricle remains enlarged, it shows as an enlarged heart shadow on the chest X-ray. ECG (electrocardiogram) can show findings of LVH but echocardiography is the best way to diagnose LVH.

Patient's Query

Thank you doctor,

I have done an ECG three years back and it showed up LVH. So I did an echocardiogram and it came back normal. I did an ECG last week and my doctor told me that it shows LVH. It remains more serious than the ECG taken before three years. I am worried. Can I have changes in the echocardiogram taken after three years?

Hi,

Welcome back to icliniq.com.

Echocardiography is the best way to diagnose LVH. If it does not show LVH, it means that there is no LVH. ECG can show signs of LVH. But similar findings can also occur due to other causes. It occurs as a normal finding in people less than 40 years of age, in people who are thin and lean, and if the ECG machine setting is not standardized. Kindly send your ECG reports and so I can guide you better. Please mention whether you are lean and thin, whether you have hypertension, and any family history of heart issues.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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