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LVH Criteria Sokolow + Lyon
S V1+ R V5 or V6 > 35 mm Cornell criteria (Circulation, 1987;3: ) S V3 + R avl > 28 mm in men S V3 + R avl > 20 mm in women Framingham criteria (Circulation,1990; 81: ) R avl > 11mm, R V4-6 > 25mm S V1-3 > 25 mm, S V1 or V2 + R V5 or V6 > 35 mm, R I + S III > 25 mm Romhilt + Estes (Am Heart J, 1986:75:752-58) Point score system
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Romhilt-Estes Point System
Criterion Points Amplitude (any of the following: Largest R or S wave in any limb lead ≥ 20mm S in V1 or V2 ≥ 30mm R in V5 or V6 ≥ 30mm 3 ST depressions or T wave inversions in lateral precordial leads, I, and/or aVL Left atrial enlargement Left axis deviation 2 QRS duration ≥ 90 ms 1 Intrinsicoid deflection in V5 or V6 ≥ 50 ms 4 points Probable LVH 5 points Definite LVH
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LVH “S V1+ R V5 or V6 > 35mm”
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St-strain Positive Cornell-voltage criteria Positive Sokolov-Lyon voltage criteria Left axis deviation LA enlargement
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Sensitivity of Electrocardiography and Echocardiography for detection of LV Hypertrophy
Devereux RB et al: Hypertension 1987;9(suppl II):69-76
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ASE Convention: LV mass = 0.80 x (LV mass cube) + 0.6
LV mass cube (g) = 1.1 x [ (IVS + LVID + PW)3 - (LVID)3 ] ASE Convention: LV mass = 0.80 x (LV mass cube) + 0.6
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ASE Convention: LV mass = 0.80 x (LV mass cube) + 0.6
LV mass cube (g) = 1.1 x [ (IVS + LVID + PW)3 - (LVID)3 ] ASE Convention: LV mass = 0.80 x (LV mass cube) + 0.6 Devereux RB et al: Am J Cardiol 1986;57:
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LVM = * [( )3 - (5.1)3] = 350 g
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