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Table 1 Summary of various ecg criteria used for evaluation of lvh

From: Electrocardiographic diagnosis of left ventricular hypertrophy in aortic valve disease: evaluation of ECG criteria by cardiovascular magnetic resonance

Reference

Formula

 

Definition of LVH

Sokolow-Lyon Voltage [9]

SV1 + RV5 or RV6

 

≥3.5 mV

Sokolow-Lyon Product [10]

(SV1 + RV or RV6) * QRS

 

≥371.0 mVms

Gubner-Ungerleider [2]

RI + SIII

 

≥2.0 mV

Cornell Voltage [11]

RaVL + SV3

 

≥2.8 mV (men)

≥2.0 mV (women)

Cornell Voltage Product [10]

(RaVL + SV3) × QRS duration (men)

(RaVL + SV3 + 0.8 mV) × QRS duration (women)

 

≥244.0 mVms

Romhilt-Estes score [12]

1. Amplitude = R or S wave in limb leads ≥2.0 mV or SV1-2 ≥3.0 mV or RV5-6 ≥3.0 mV

3 points

≥5 points: definite LVH

≥4 points: probable LVH

 

2. ST-T segment pattern =

  
 

without digitalis

3 points

 
 

with digitalis

1 point

 
 

3. Left atrial involment

3 points

 
 

4. Left axis deviation ≥-30°

2 points

 
 

5. QRS duration ≥0.09 sec

1 point

 
 

6 Intrinsicoid deflection ≥0.05 sec in V5-V6

1 point

 

Perugia score [3]

SV3 + RaVL >2.4 mV (men)

SV3 + RaVL >2.0 mV (women)

And/or

Typical strain pattern

And/or

Romhilt-Estes Score ≥5 points

 

At least one criterion