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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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A, Linear LV dimensions by two-dimensional (left) and M-mode (right) methods. The yellow and white arrows indicate the LV end-diastolic diameter. B, Doppler assessment of stroke volume using the LV outflow tract dimension (left) .
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