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LVH Criteria

LVH Criteria. Sokolow + Lyon S V1+ R V5 or V6 > 35 mm Cornell criteria (Circulation, 1987;3: 565-72) S V3 + R avl > 28 mm in men S V3 + R avl > 20 mm in women Framingham criteria (Circulation,1990; 81:815-820) R avl > 11mm, R V4-6 > 25mm S V1-3 > 25 mm, S V1 or V2 +

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LVH Criteria

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  1. LVH Criteria • Sokolow + Lyon • S V1+ R V5 or V6 > 35 mm • Cornell criteria (Circulation, 1987;3: 565-72) • S V3 + R avl > 28 mm in men • S V3 + R avl > 20 mm in women • Framingham criteria (Circulation,1990; 81:815-820) • 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

  2. Romhilt-Estes Point System 4 points  Probable LVH 5 points  Definite LVH

  3. LVH “S V1+ R V5 or V6 > 35mm”

  4. LA enlargement • Left axis deviation • Positive Cornell-voltage criteria • Positive Sokolov-Lyon voltage criteria • St-strain

  5. Sensitivity of Electrocardiography and Echocardiography for detection of LV Hypertrophy Devereux RB et al: Hypertension 1987;9(suppl II):69-76

  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

  7. 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;57:450-458

  8. LVM = 0.832 * [(1.8 + 5.1 + 1.3)3 - (5.1)3] + 0.6 = 350 g

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