6th March 2024

A 61-year-old teacher with hypertension and heart failure is being reviewed in the heart failure clinic.

A 61-year-old teacher with hypertension and heart failure is being reviewed in the heart failure clinic. Her chest x-ray shows an increased cardiothoracic ratio and her ECG meets the voltage criteria for LVH. She is awaiting an echocardiogram. What sign would indicate cardiomegaly on examination? 

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