PMID: 6230928Apr 1, 1984Paper

Reevaluation of electrocardiographic criteria for left, right and combined cardiac ventricular hypertrophy

The American Journal of Cardiology
M L MurphyJ L Whittle


Cardiac chamber weight was determined at necropsy in 323 men to develop correlative studies of electrocardiographic criteria for ventricular hypertrophy. Thirty recommended criteria for left ventricular (LV) hypertrophy, 10 for right ventricular (RV) hypertrophy, and combinations of both criteria for combined hypertrophy were evaluated. Four methods for electrocardiographic diagnosis of LV hypertrophy were derived: (1) a modification of the Romhilt-Estes point system; (2) the presence of any 1 of 3 criteria: (a) S V1 + R V5 or V6 greater than 35 mm, (b) left atrial abnormality, or (c) intrinsicoid deflection in lead V5 or V6 greater than or equal to 0.05 second; (3) a combination of any 2 criteria or of 1 criterion (above) plus at least 1 of the following 3 additional criteria: (a) left-axis deviation greater than -30 degrees, (b) QRS duration greater than 0.09 second, or (c) T-wave inversion in lead V6 of 1 mm or more; and (4) the use of a single criterion--left atrial abnormality. Sensitivity varied from 57 to 66% and specificity from 85 to 93% among these 4 methods. Myocardial infarction increased sensitivity of the foregoing methods, but the specificity was reduced. Method 2 is preferred for the electrocardiographic diagnos...Continue Reading


Sep 1, 1974·Annals of Internal Medicine·M L MurphyF Hutcheson
May 26, 1966·The New England Journal of Medicine·T J Vecchio
Feb 1, 1964·Circulation·J J MORRISH D MCINTOSH
Jan 1, 1948·American Heart Journal·G B MYERSB E STOFER


Oct 29, 2008·Herzschrittmachertherapie & Elektrophysiologie·Bernd-Dieter Gonska
Mar 1, 1994·Journal of the American College of Cardiology·J D KaplanN B Schiller
Jul 20, 2002·The American Journal of Cardiology·Juha S PerkiomakiThrombogenic Factors and Recurrent Coronary Events Investigators
Sep 15, 2007·Critical Care Medicine·Roham T ZamanianAnn B Weinacker
Jun 1, 1992·The Journal of Clinical Investigation·P NuutilaU Wegelius
Jul 11, 2015·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Ayano NakatsujiWataru Shimizu
Jul 27, 2007·International Journal of Cardiology·Khalid Al-NaamaniThao Huynh
Mar 26, 1998·The American Journal of Cardiology·S YamashitaK Sato
Jan 1, 1985·The Journal of Emergency Medicine·J E Gruber
Aug 26, 2015·Clinics in Chest Medicine·Cyrus A Kholdani, Wassim H Fares
May 1, 1988·Clinical Cardiology·M L MurphyK D Straub
Jan 1, 1991·International Journal of Cardiology·J O OlubodunA Lawal
Apr 14, 2018·Circulation·Marvin A KonstamAmerican Heart Association Council on Clinical Cardiology; Council on Cardiovascular Disease in the Young; and Council on Ca
Nov 27, 2018·PloS One·Sachiyo IgataYoshihiro Fukumoto
Nov 27, 2019·Cardiac Failure Review·Mattia ArrigoFrank Ruschitzka
Feb 12, 2020·Acta Cardiologica·Fernando De la Garza SalazarMaria Elena Romero Ibarguengoitia
May 22, 2020·Expert Review of Cardiovascular Therapy·Michael DandelRoland Hetzer
Jul 9, 2011·Proceedings·D Luke GlancyPrashanthi Atluri
Jun 1, 2018·BioMed Research International·Marcin WaligóraGrzegorz Kopeć
Nov 18, 2004·Pacing and Clinical Electrophysiology : PACE·Matthew R ReynoldsMiracle ICD Investigators

Related Concepts

Electrocardiographic Recorders
Cardiac Hypertrophy
Myocardial Infarction

Related Feeds

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.