|
|
||||||||||
|
J Am Coll Cardiol, 1985; 6:572-580 © 1985 by the American College of Cardiology Foundation |
To develop improved electrocardiographic criteria of left ventricular hypertrophy, individual electrocardiographic voltage measurements were compared with echocardiographic left ventricular mass in a "learning series" of 414 subjects. The strongest independent relations with left ventricular mass were exhibited by the S wave in lead V3, the R wave in lead a VL and the T wave in lead V1 (each p less than 0.001), and by age and sex. Better electrocardiographic detection of left ventricular hypertrophy was achieved by new criteria that stratified QRS voltage and repolarization findings in sex and age subsets. For men, at all ages, left ventricular hypertrophy is suggested by QRS voltage alone when the R wave in lead aVL and the S wave in lead V3 total more than 35 mm. When this voltage exceeds 22 mm, left ventricular hypertrophy is suggested in men under age 40 years when the T wave in lead V1 is positive (greater than or equal to 0 mm), and in men 40 years or older when the T wave in lead V1 is at least 2 mm. For women, at all ages, left ventricular hypertrophy is suggested when the R wave in lead a VL and the S wave in lead V3 total more than 25 mm. When this voltage exceeds 12 mm, left ventricular hypertrophy is suggested in women under 40 when the T wave in lead V1 is positive (greater than or equal to 0 mm), and in women over 40 when the T wave in lead V1 is 2 mm or greater.(ABSTRACT TRUNCATED AT 250 WORDS)
This article has been cited by other articles:
![]() |
A La Gerche, K A Connelly, D J Mooney, A I MacIsaac, and D L Prior Biochemical and functional abnormalities of left and right ventricular function after ultra-endurance exercise Heart, July 1, 2008; 94(7): 860 - 866. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. M. Okin, E. Gerdts, S. E. Kjeldsen, S. Julius, J. M. Edelman, B. Dahlof, R. B. Devereux, and for the Losartan Intervention for Endpoint Reducti Gender Differences in Regression of Electrocardiographic Left Ventricular Hypertrophy During Antihypertensive Therapy Hypertension, July 1, 2008; 52(1): 100 - 106. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Pewsner, P. Juni, M. Egger, M. Battaglia, J. Sundstrom, and L. M Bachmann Accuracy of electrocardiography in diagnosis of left ventricular hypertrophy in arterial hypertension: systematic review BMJ, October 6, 2007; 335(7622): 711 - 711. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. Barrios, C. Escobar, A. Calderon, J. Pablo Tomas, S. Ruiz, J. L. Moya, A. Megias, O. Vegazo, and R. Fernandez Regression of left ventricular hypertrophy by a candesartan-based regimen in clinical practice The VIPE study Journal of Renin-Angiotensin-Aldosterone System, December 1, 2006; 7(4): 236 - 242. [Abstract] [PDF] |
||||
![]() |
P. Poirier, T. D. Giles, G. A. Bray, Y. Hong, J. S. Stern, F. X. Pi-Sunyer, and R. H. Eckel Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss. Arterioscler. Thromb. Vasc. Biol., May 1, 2006; 26(5): 968 - 976. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Poirier, T. D. Giles, G. A. Bray, Y. Hong, J. S. Stern, F. X. Pi-Sunyer, and R. H. Eckel Obesity and Cardiovascular Disease: Pathophysiology, Evaluation, and Effect of Weight Loss: An Update of the 1997 American Heart Association Scientific Statement on Obesity and Heart Disease From the Obesity Committee of the Council on Nutrition, Physical Activity, and Metabolism Circulation, February 14, 2006; 113(6): 898 - 918. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. C. Hannukainen, U. M. Kujala, J. Toikka, O. J. Heinonen, J. Kapanen, T. Vahlberg, J. Kaprio, and K. K. Kalliokoski Cardiac structure and function in monozygotic twin pairs discordant for physical fitness J Appl Physiol, August 1, 2005; 99(2): 535 - 541. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Dhingra, B. Ho Nam, E. J. Benjamin, T. J. Wang, M. G. Larson, R. B. D'Agostino Sr, D. Levy, and R. S. Vasan Cross-sectional relations of electrocardiographic QRS duration to left ventricular dimensions: The Framingham Heart Study J. Am. Coll. Cardiol., March 1, 2005; 45(5): 685 - 689. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. D. Jacobsen, G. S. Wagner, L. Holmvang, F. Kontny, L. Wallentin, S. Husted, E. Swahn, E. Stahle, R. Steffensen, and P. Clemmensen Quantitative T-wave analysis predicts 1 year prognosis and benefit from early invasive treatment in the FRISC II study population Eur. Heart J., January 2, 2005; 26(2): 112 - 118. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Delgado-Almeida Back to the Basic: Measuring QRS Voltage-Interval in Left Ventricular Hypertrophy Hypertension, December 1, 2004; 44(6): e13 - e13. [Full Text] [PDF] |
||||
![]() |
P. M. Okin, R. B. Devereux, S. Jern, S. E. Kjeldsen, S. Julius, M. S. Nieminen, S. Snapinn, K. E. Harris, P. Aurup, J. M. Edelman, et al. Regression of Electrocardiographic Left Ventricular Hypertrophy During Antihypertensive Treatment and the Prediction of Major Cardiovascular Events JAMA, November 17, 2004; 292(19): 2343 - 2349. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Alfakih, K. Walters, T. Jones, J. Ridgway, A. S. Hall, and M. Sivananthan New Gender-Specific Partition Values for ECG Criteria of Left Ventricular Hypertrophy: Recalibration Against Cardiac MRI Hypertension, August 1, 2004; 44(2): 175 - 179. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. P. Schneider, A. U. Klingbeil, C. Delles, M. Ludwig, R. E. Kolloch, M. Krekler, K. O. Stumpe, and R. E. Schmieder Effect of Irbesartan Versus Atenolol on Left Ventricular Mass and Voltage: Results of the CardioVascular Irbesartan Project Hypertension, July 1, 2004; 44(1): 61 - 66. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. M. van den Bergh, A. Algra, and G. J.E. Rinkel Electrocardiographic Abnormalities and Serum Magnesium in Patients With Subarachnoid Hemorrhage Stroke, March 1, 2004; 35(3): 644 - 648. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. M. Mayosi, B. Keavney, A. Kardos, C. H. Davies, P. J. Ratcliffe, M. Farrall, and H. Watkins Electrocardiographic measures of left ventricular hypertrophy show greater heritability than echocardiographic left ventricular mass Eur. Heart J., December 2, 2002; 23(24): 1963 - 1971. [Abstract] [PDF] |
||||
![]() |
P. Verdecchia, C. Porcellati, G. Reboldi, R. Gattobigio, C. Borgioni, T. A. Pearson, and G. Ambrosio Left Ventricular Hypertrophy as an Independent Predictor of Acute Cerebrovascular Events in Essential Hypertension Circulation, October 23, 2001; 104(17): 2039 - 2044. [Abstract] [Full Text] [PDF] |
||||
![]() |
M Lund, J.K French, R.N Johnson, B.F Williams, and H.D White Serum troponins T and I after elective cardioversion Eur. Heart J., February 1, 2000; 21(3): 245 - 253. [Abstract] [PDF] |
||||
![]() |
W. N. Kernan, C. M. Viscoli, L. M. Brass, R. W. Makuch, P. M. Sarrel, R. S. Roberts, M. Gent, P. Rothwell, R. L. Sacco, R.-C. Liu, et al. The Stroke Prognosis Instrument II (SPI-II) : A Clinical Prediction Instrument for Patients With Transient Ischemia and Nondisabling Ischemic Stroke Stroke, February 1, 2000; 31(2): 456 - 462. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. M. Okin, S. Jern, R. B. Devereux, S. E. Kjeldsen, B. Dahlof, and f. t. L. S. Group Effect of Obesity on Electrocardiographic Left Ventricular Hypertrophy in Hypertensive Patients : The Losartan Intervention For Endpoint (LIFE) Reduction in Hypertension Study Hypertension, January 1, 2000; 35(1): 13 - 18. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Mosterd, R. B. D'Agostino, H. Silbershatz, P. A. Sytkowski, W. B. Kannel, D. E. Grobbee, and D. Levy Trends in the Prevalence of Hypertension, Antihypertensive Therapy, and Left Ventricular Hypertrophy from 1950 to 1989 N. Engl. J. Med., April 22, 1999; 340(16): 1221 - 1227. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. M. Okin, M. J. Roman, R. B. Devereux, T. G. Pickering, J. S. Borer, and P. Kligfield Time-Voltage QRS Area of the 12-Lead Electrocardiogram : Detection of Left Ventricular Hypertrophy Hypertension, April 1, 1998; 31(4): 937 - 942. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Kario, K. Eguchi, Y. Nakagawa, K. Motai, and K. Shimada Relationship Between Extreme Dippers and Orthostatic Hypertension in Elderly Hypertensive Patients Hypertension, January 1, 1998; 31(1): 77 - 82. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Verdecchia, G. Schillaci, C. Borgioni, A. Ciucci, and C. Porcellati Prognostic Significance of the White Coat Effect Hypertension, June 1, 1997; 29(6): 1218 - 1224. [Abstract] [Full Text] |
||||
![]() |
G. Schillaci, P. Verdecchia, C. Borgioni, A. Ciucci, I. Zampi, M. Battistelli, R. Gattobigio, N. Sacchi, and C. Porcellati Association Between Persistent Pressure Overload and Ventricular Arrhythmias in Essential Hypertension Hypertension, August 1, 1996; 28(2): 284 - 289. [Abstract] [Full Text] |
||||
![]() |
P. M. Rautaharju, T. A. Manolio, D. Siscovick, S. H. Zhou, J. M. Gardin, R. Kronmal, C. D. Furberg, N. O. Borhani, and A. Newman Utility of New Electrocardiographic Models for Left Ventricular Mass in Older Adults Hypertension, July 1, 1996; 28(1): 8 - 15. [Abstract] [Full Text] |
||||
![]() |
P. M. Okin, M. J. Roman, R. B. Devereux, and P. Kligfield Time-Voltage Area of the QRS for the Identification of Left Ventricular Hypertrophy Hypertension, February 1, 1996; 27(2): 251 - 258. [Abstract] [Full Text] |
||||
![]() |
P. M. Okin, M. J. Roman, R. B. Devereux, and P. Kligfield Gender Differences and the Electrocardiogram in Left Ventricular Hypertrophy Hypertension, February 1, 1995; 25(2): 242 - 249. [Abstract] [Full Text] |
||||
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |