{"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\/carlvh\/","title":{"rendered":"Electrocardiographic Diagnosis of Left Ventricular Hypertrophy (LVH)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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><strong>Sokolow-Lyon index:<\/strong><\/p>\n<div class=\"Section1\">\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">There are two criteria with these widely used indices:<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">* Sum of S wave in V1 and R wave in V5 or V6 &gt;\/= 3.5 mV (35 mm)<\/p>\n<p class=\"MsoNormal\" style=\"text-indent: 18pt; margin-top: 0pt; margin-bottom: 0pt;\">and\/or<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">* R wave in aVL &gt;\/= 1.1 mV (11 mm)<\/p>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Romhilt-Estes point score system:<\/strong><\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">Probable left ventricular hypertrophy is diagnosed if 4 points are present and definite left ventricular hypertrophy is diagnosed if 5 or more points are present.<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><span style=\"font-size: 12.16px;\">\u00a0<\/span><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr style=\"height: 63px;\">\n<td style=\"border: 1pt solid windowtext; padding: 0cm 5.4pt; height: 63px; width: 504.625px;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\"><strong>Criterion<\/strong>\u00a0<\/span><\/p>\n<\/td>\n<td style=\"border-top: 1pt solid windowtext; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-image: initial; border-left: none; padding: 0cm 5.4pt; height: 63px; width: 50.625px; text-align: center;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span><strong>Points<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 52px;\">\n<td style=\"border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 52px; width: 504.625px;\" valign=\"top\">\n<p class=\"MsoNormal\">Any limb R wave or S wave &gt;\/=2.0 mV (20 mm)<br \/>\nOR S in V1 or S in V2 &gt;\/= 3.0 mV (30 mm)<br \/>\nOR R in V5 or R in V6 &gt;\/= 3.0 mV (30 mm)<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 52px; width: 50.625px; text-align: center;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span><span lang=\"ES-AR\">3<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 48px; width: 504.625px;\" valign=\"top\">\n<p class=\"MsoNormal\">ST-T wave changes typical of LVH<br \/>\nTaking digitalis<br \/>\nNot taking digitalis<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 48px; width: 50.625px; text-align: center;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\"><br \/>\n<\/span><span lang=\"ES-AR\">1<br \/>\n<\/span><span lang=\"ES-AR\">3<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 57px;\">\n<td style=\"border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 57px; width: 504.625px;\" valign=\"top\">\n<p class=\"MsoNormal\">Left atrial abnormality<br \/>\nP terminal force in V1 is 1 mm or more in depth with a duration &gt;\/= 40 ms (0.04 sec)<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 57px; width: 50.625px; text-align: center;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\"><br \/>\n<\/span><span lang=\"ES-AR\">3<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\">\n<td style=\"border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 63px; width: 504.625px;\" valign=\"top\">\n<p class=\"MsoNormal\">Left axis deviation &gt;\/= -30\u00aa<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 63px; width: 50.625px; text-align: center;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">2<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\">\n<td style=\"border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 63px; width: 504.625px;\" valign=\"top\">\n<p class=\"MsoNormal\">QRS duration &gt;\/= 90 ms<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 63px; width: 50.625px; text-align: center;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">1<\/span><\/p>\n<\/td>\n<\/tr>\n<tr style=\"height: 63px;\">\n<td style=\"border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0cm 5.4pt; height: 63px; width: 504.625px;\" valign=\"top\">\n<p class=\"MsoNormal\">Intrinsicoid deflection in V5 or V6 &gt;\/= 50 ms (0.05 sec) *<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0cm 5.4pt; height: 63px; width: 50.625px; text-align: center;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">1<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\">* Intrinsicoid deflection is defined as interval between beginning of QRS interval and the peak of the R wave<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Cornell voltage criteria<\/strong> \u2013 These more recent criteria are based upon echocardiographic correlative studies designed to detect a left ventricular mass index &gt;132 g\/m2 in men and &gt;109 g\/m2 in women.<\/p>\n<ul>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">For men: S in V3 plus R in aVL &gt;2.8 mV (28 mm)<\/p>\n<\/li>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">For women: S in V3 + R in aVL &gt;2.0 mV (20 mm)<\/p>\n<\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong>Cornell voltage-duration measurement<\/strong><\/p>\n<ul>\n<li>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">QRS duration\u00d7Cornell Voltage &gt; 2440 ms \u00d7 mV<\/p>\n<\/li>\n<\/ul>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\"><strong> Sensitivity and specificity for selected ECG criteria of LVH<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span><strong>Criterion<\/strong><\/p>\n<\/td>\n<td style=\"border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span><strong style=\"text-align: center;\">Sensitivity (%)<\/strong><\/p>\n<\/td>\n<td style=\"border: solid windowtext 1.0pt; border-left: none; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\"><strong style=\"text-align: center;\">Specificity (%)<\/strong>\u00a0<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span>Sokolow Lyon Voltage<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a022<\/span><\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a0100<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span>Cornell Voltage Criteria<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a042<\/span><\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a096<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span>Cornell Voltage Duration Criteria<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a051<\/span><\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a095<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span>RaVL &gt; 11 mm<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a011<\/span><\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a0100<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span>Romhilt-Estes &gt; 4 points<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a054<\/span><\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a085<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid windowtext 1.0pt; border-top: none; mso-border-top-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span>Romhilt-Estes &gt; 5 points<\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a033<\/span><\/p>\n<\/td>\n<td style=\"border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt;\" valign=\"top\">\n<p class=\"MsoNormal\" style=\"text-align: center;\"><span lang=\"ES-AR\">\u00a094<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\"><span lang=\"ES-AR\">\u00a0<\/span><\/p>\n<div class=\"Section1\"><strong>Scott&#8217;s criteria for LVH<\/strong><\/div>\n<div class=\"Section1\">\n<p>Limbs leads:<\/p>\n<ul>\n<li>R in 1 + S in 3 more than 25 mm<\/li>\n<li>R in aVL more than 7.5 mm<\/li>\n<\/ul>\n<p>Chest leads:<\/p>\n<ul>\n<li>S in V1 or V2 + Rin V5 or V6,ore than 35 mm<\/li>\n<li>R in V5 or V6 more than 26<\/li>\n<li>R + S in any V lead more than 45 mm<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<\/div>\n<ol>\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>Created: Jan 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>Sorry, this entry is only available in Espa\u00f1ol.<\/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"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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