{"id":2486,"date":"2009-03-08T23:08:53","date_gmt":"2009-03-08T23:08:53","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carlvh\/"},"modified":"2025-05-14T19:09:52","modified_gmt":"2025-05-14T19:09:52","slug":"carlvh","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/carlvh\/","title":{"rendered":"Diagn\u00f3stico Electrocardiogr\u00e1fico de Hipertrofia Ventricular Izquierda (HVI)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p style=\"font-weight: 400;\"><strong>\u00cdndice de Sokolow-Lyon:<\/strong><\/p>\n<p style=\"font-weight: 400;\">Existen dos criterios ampliamente utilizados:<\/p>\n<p style=\"font-weight: 400; padding-left: 30px;\">*\u00a0La suma de la onda S en V1 y onda R en V5 o V6 &gt;\/= 3,5 mV (35 mm)<br \/>\ny\/o<br \/>\n*\u00a0Onda R en aVL &gt;\/= 1,1 mV (11 mm)<!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Sistema de puntuaci\u00f3n Romhilt-Estes:<br \/>\n<\/strong>La hipertrofia ventricular izquierda probable es diagnosticada si 4 puntos est\u00e1n presentes e hipertrofia ventricular izquierda definitiva es diagnosticada si 5 o m\u00e1s puntos est\u00e1n presentes.<\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 302px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 508px;\"><strong>Criterio<\/strong><\/td>\n<td style=\"height: 24px; width: 56px; text-align: center;\">\u00a0<strong>Puntos<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 116px;\">\n<td style=\"height: 116px; width: 508px;\">En cualquier derivaci\u00f3n de los miembros onda R u onda S &gt;\/=2,0 mV (20 mm)<br \/>\nO S en V1 o S en V2 &gt;\/= 3,0 mV (30 mm)<br \/>\nO R en V5 o R en V6 &gt;\/= 3,0 mV (30 mm)<\/td>\n<td style=\"height: 116px; width: 56px; text-align: center;\">&nbsp;<\/p>\n<p>3<\/td>\n<\/tr>\n<tr style=\"height: 76px;\">\n<td style=\"height: 76px; width: 508px;\">Cambios t\u00edpicos en la onda ST-T de HVI<br \/>\nRecibiendo digital<br \/>\n<span style=\"font-family: inherit; font-size: inherit;\">No recibiendo digital<\/span><\/td>\n<td style=\"height: 76px; width: 56px; text-align: center;\">1<br \/>\n3<\/td>\n<\/tr>\n<tr style=\"height: 14px;\">\n<td style=\"height: 14px; width: 508px;\">Anormalidad auricular izquierda<br \/>\nDeflexi\u00f3n de la onda P en V1 de 1 mm o m\u00e1s en profundidad con una duraci\u00f3n &gt;\/= 40 ms (0.04 seg)<\/td>\n<td style=\"height: 14px; width: 56px; text-align: center;\">3<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 508px;\">Desviaci\u00f3n del eje a la izquierda &gt;\/= -30\u00aa<\/td>\n<td style=\"height: 24px; width: 56px; text-align: center;\">2<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 508px;\">Duraci\u00f3n del QRS &gt;\/= 90 ms<\/td>\n<td style=\"height: 24px; width: 56px; text-align: center;\">1<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px; width: 508px;\">Deflexi\u00f3n intrinsecoide en V5 o V6 &gt;\/= 50 ms (0.05 sec) *<\/td>\n<td style=\"height: 24px; width: 56px; text-align: center;\">1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">* La deflexi\u00f3n intrinsecoide es definida como el intervalo entre el comienzo del QRS y el pico de la onda R<\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios de voltaje de Cornell<\/strong>: Estos criterios m\u00e1s recientes son basados en la correlaci\u00f3n de estudios ecocardiogr\u00e1ficos dise\u00f1ados para detectar un \u00edndice de masa ventricular izquierda &gt;132 g\/m2 en hombres y &gt;109 g\/m2 en mujeres.<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Para hombres: S en V3 + R en aVL &gt;2,8 mV (28 mm)<\/li>\n<li>Para mujeres: S en V3 + R en aVL &gt;2,0 mV (20 mm)<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Medici\u00f3n voltaje-duraci\u00f3n de Cornell:<\/strong><\/p>\n<ul style=\"font-weight: 400;\">\n<li>Duraci\u00f3n del QRS \u00d7 voltaje de Cornell &gt; 2440 ms \u00d7 mV<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Sensibilidad y especificidad para criterios ECG seleccionados de HVI<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td>\u00a0<strong>Criterio<\/strong><\/td>\n<td style=\"text-align: center;\">\u00a0<strong>Sensibilidad\u00a0(%)<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Especificidad\u00a0(%)<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Voltaje de Sokolow Lyon<\/td>\n<td style=\"text-align: center;\">\u00a022<\/td>\n<td style=\"text-align: center;\">\u00a0100<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Criterios de Voltaje de Cornell<\/td>\n<td style=\"text-align: center;\">\u00a042<\/td>\n<td style=\"text-align: center;\">\u00a096<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Criterios de Voltaje-Duraci\u00f3n de Cornell<\/td>\n<td style=\"text-align: center;\">\u00a051<\/td>\n<td style=\"text-align: center;\">\u00a095<\/td>\n<\/tr>\n<tr>\n<td>\u00a0RaVL &gt; 11 mm<\/td>\n<td style=\"text-align: center;\">\u00a011<\/td>\n<td style=\"text-align: center;\">\u00a0100<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Romhilt-Estes &gt; 4 puntos<\/td>\n<td style=\"text-align: center;\">\u00a054<\/td>\n<td style=\"text-align: center;\">\u00a085<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Romhilt-Estes &gt; 5 puntos<\/td>\n<td style=\"text-align: center;\">\u00a033<\/td>\n<td style=\"text-align: center;\">\u00a094<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda::<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>de Vries SO, Heesen WF, Beltman FW, Kroese AH, May JF, Smit AJ, Lie KI. Prediction of the left ventricular mass from the electrocardiogram in systemic hypertension. Am J Cardiol. 1996 May 1;77(11):974-8.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8644648\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Casale PN, Devereux RB, Alonso DR, Campo E, Kligfield P. Improved sex-specific criteria of left ventricular hypertrophy for clinical and computer interpretation of electrocardiograms: validation with autopsy findings. Circulation. 1987 Mar;75(3):565-72.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2949887\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Okin PM, Roman MJ, Devereux RB, Kligfield P. Gender differences and the electrocardiogram in left ventricular hypertrophy. Hypertension. 1995 Feb;25(2):242-9.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7843774\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Ene 03, 2006<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>\u00cdndice de Sokolow-Lyon: Existen dos criterios ampliamente utilizados: *\u00a0La suma de la onda S en V1 y onda R en V5 o V6 &gt;\/= 3,5 mV (35 mm) y\/o *\u00a0Onda R en aVL &gt;\/= 1,1 mV (11 mm)<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[1348,123,13,1480,1479,1478,1477,1476,1475,1474,121],"class_list":["post-2486","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-cardiology","tag-diagnosis","tag-diagnostico","tag-electrocardiographic","tag-hipertrofia","tag-hvi","tag-hypertrophy","tag-izquierda","tag-left","tag-lvh","tag-ventricular"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2486","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2486"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2486\/revisions"}],"predecessor-version":[{"id":9156,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2486\/revisions\/9156"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2486"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2486"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}