Left Ventricular Hypertrophy (LVH)
(Last Updated - 5/12/2007)
-EKG Criteria:
1) Sokolow-Lyon Criteria:
-S-V1 + R-(V5 or V6) >= 35
->95% specific
-45% sensitive
2) Casale (Modified Cornell) Criteria:
-R-aVL + S-V3 > 28 (men) or >20 (women)
-more sensitive but less specific than Sokolow-Lyon criteria
3) Talbot Criteria:
-R-aVL >= 16
>90% specific
-not very sensitive
4) Koito & Spodick Criteria:
-R-V6 > R-V5
-100% specificity
->50% sensitivity
5) Hernandez Padial Criteria:
-total 12-lead QRS voltage > 120
-Gold Standard For Diagnosis:
-echocardiography
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References:
Hurst's: The Heart: Manual of Cardiology - 11th Edition - 2004. Chapter 2.