11th May 2025

A 41-year-old woman present to general practice with progressive dyspnoea on exertion.

A 41-year-old woman present to general practice with progressive dyspnoea on exertion. You perform initial work up with bloods (full blood count, urea and electrolytes and liver function tests), chest x-ray, ECG and transthoracic echocardiogram. Echocardiogram shows elevated estimated pulmonary pressures, and you suspect a diagnosis of pulmonary hypertension. Which of the following ECG findings are most associated with pulmonary hypertension?

Select the SINGLE most appropriate option from the list below. Select ONE option only.