Criteria for Left Ventricular Hypertrophy

Are you evaluating a patient for evidence of left ventricular hypertrophy in the ECG?

Yes

Is the T wave in lead I flat, diphasic or inverted?

Yes

Is the T wave in lead II diphasic or inverted, with a tall R wave?

Yes

Is the T wave in lead III diphasic or inverted, with a tall R wave?

Yes

Ventricular activation time in V5 or V6

milliseconds

Is the T wave upright in aVR?

Yes


Wave amplitude	R wave	S wave
I			mm
III			mm
V1			mm
V5			mm
V6			mm
aVL			mm

Is the RS-T segment depressed more than 0.5 mm in:

• lead I?

Yes

• lead V4?

Yes

• lead V5?

Yes

• lead V6?

Yes

• lead aVL?

Yes

• lead aVF?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of ECG changes present associated with left ventricular hypertrophy

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Perugia Score for Detecting Left Ventricular Hypertrophy in a Patient with Essential Hypertension
Clinical Diagnosis, Including Family History For Genetics
- Left Ventricular Hypertrophy Point Scoring System for Diagnosis
Imaging Studies
- Perugia Score for Detecting Left Ventricular Hypertrophy in a Patient with Essential Hypertension
- Cornell Product (Cornell Voltage Product)
Other Testing
- Criteria for Left Ventricular Hypertrophy (Cornell Criteria)
- Criteria for Left Ventricular Hypertrophy in Presence of Left Bundle Branch Block
Criteria For Diagnosis
Complications
- Perugia Score for Detecting Left Ventricular Hypertrophy in a Patient with Essential Hypertension

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10

Purpose: To identify left ventricular hypertrophy using the changes in the electrocardiogram described by Sokolow and Lyon.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Specialty

Objective

ICD-10