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Table 1 The 22 conventional ECG criteria of LVHa

From: Models for improved diagnosis of left ventricular hypertrophy based on conventional electrocardiographic criteria

  Amplitude First author of study Year of study publication Be considered as
Limb lead voltage
 (R I–S I) + (S III–R III) >16 mm Lewis 1914 ECG 1
 R I + S III >25 mm Gubner 1943 ECG 2
 R I >15 mm Gubner 1943 ECG 3
 R aVL >11 mm Sokolow 1949 ECG 4
 R aVF >20 mm Goldberger 1949 ECG 5
 Q or S aVR >19 mm Schack 1950 ECG 6
 R + S in any limb lead >19 mm Romhilt 1968 ECG 7
Precordial lead voltage
 S V1 >23 mm Wilson 1944 ECG 8
 S V2 >25 mm Mazzoleni 1964 ECG 9
 S V1 + R V5 >35 mm Sokolow 1949 ECG 10
 S V2 + R V5,6 >45 mm Romhilt 1969 ECG 11
 S V1,2 + R V5,6 >35 mm Murphy 1984 ECG 12
 S V1,2 + R V6 >40 mm Grant 1957 ECG 13
 R + S any precordial lead >35 mm Grant 1957 ECG 14
 R V5/R V6 >1.0 Holt 1962 ECG 15
 R, any precordial lead >26 mm McPhie 1958 ECG 16
 S V2 + R V4,5 >45 mm Wolff 1956 ECG 17
 R V5 >33 mm Wilson 1944 ECG 18
 R V6 >25 mm Wilson 1944 ECG 19
Combinations of limb and precordial voltage
 RS aVF + V2 + V6 (>30 years) >59 mm Manning 1964 ECG 20
 RS aVF + V2 + V6 (<30 years) >93 mm Manning 1964 ECG 20
 S V3 + R aVL (men) >28 mm Casale 1985 ECG 21
 S V3 + R aVL (women) >20 mm Casale 1985 ECG 21
 Total 12-lead voltage >175 mm Siegel 1982 ECG 22
  1. Among 36 ECG criteria recommend by the American of electrocardiogram guidelines, 22 based on measurements of QRS voltages (22 conventional ECG criteria) were applied in this study
  2. a ECG electrocardiogram, LVH Left ventricular hypertrophy; Amplitudes are given in millimeters, where 1 mm = 0.1 mV