when reading the EKG of someone with right ventricular hypertrophy and right bundle branch block on the V1?

when reading the EKG of someone with right ventricular hypertrophy and right bundle branch block on the V1?
T wave inversion in V1 to V3 could be due to right bundle branch block or previous anterior wall myocardial infarction. T-wave inversion (what shows up in the three "abnormal" leads) can be caused by anything from hyperventilation to potassium depletion to positioning of the leads. It can, of course, also signify some non-specific heart disease, but in the absence of symptoms this is extremely difficult to know. I would move forward with a stress echo...t inversion in v1 alone is a normal phenomenon, if it extends to v2 and v3 it indicates ischemia.

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