ISE/ISHNE Expert Consensus Statement on ECG Diagnosis of Left Ventricular Hypertrophy : The Change of the Paradigm. The joint paper of the International Society of Electrocardiology and the International Society for Holter Monitoring and Noninvasive Electrocardiology
(2023) In Journal of Electrocardiology 81. p.85-93- Abstract
The ECG diagnosis of LVH is predominantly based on the QRS voltage criteria, i.e. the increased QRS complex amplitude in defined leads. The classical ECG diagnostic paradigm postulates that the increased left ventricular mass generates a stronger electrical field, increasing the leftward and posterior QRS forces. These increased forces are reflected in the augmented QRS amplitude in the corresponding leads. However, the clinical observations document increased QRS amplitude only in the minority of patients with LVH. The low sensitivity of voltage criteria has been repeatedly documented. We discuss possible reasons for this shortcoming and proposal of a new paradigm.
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- author
- organization
- publishing date
- 2023-11-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- ECG, Left ventricular hypertrophy, New paradigm
- in
- Journal of Electrocardiology
- volume
- 81
- pages
- 9 pages
- publisher
- Elsevier
- external identifiers
-
- pmid:37647776
- scopus:85169015063
- ISSN
- 0022-0736
- DOI
- 10.1016/j.jelectrocard.2023.08.005
- language
- English
- LU publication?
- yes
- id
- c6bac7c5-4684-44cb-b14a-d81334e425c8
- date added to LUP
- 2023-11-30 13:21:33
- date last changed
- 2024-04-13 14:27:31
@article{c6bac7c5-4684-44cb-b14a-d81334e425c8, abstract = {{<p>The ECG diagnosis of LVH is predominantly based on the QRS voltage criteria, i.e. the increased QRS complex amplitude in defined leads. The classical ECG diagnostic paradigm postulates that the increased left ventricular mass generates a stronger electrical field, increasing the leftward and posterior QRS forces. These increased forces are reflected in the augmented QRS amplitude in the corresponding leads. However, the clinical observations document increased QRS amplitude only in the minority of patients with LVH. The low sensitivity of voltage criteria has been repeatedly documented. We discuss possible reasons for this shortcoming and proposal of a new paradigm.</p>}}, author = {{Bacharova, Ljuba and Chevalier, Philippe and Gorenek, Bulent and Jons, Christian and Li, Yi Gang and Locati, Emanuela T. and Maanja, Maren and Pérez-Riera, Andrés Ricardo and Platonov, Pyotr G. and Ribeiro, Antonio Luiz P. and Schocken, Douglas and Soliman, Elsayed Z. and Svehlikova, Jana and Tereshchenko, Larisa G. and Ugander, Martin and Varma, Niraj and Zaklyazminskaya, Elena and Ikeda, Takanori}}, issn = {{0022-0736}}, keywords = {{ECG; Left ventricular hypertrophy; New paradigm}}, language = {{eng}}, month = {{11}}, pages = {{85--93}}, publisher = {{Elsevier}}, series = {{Journal of Electrocardiology}}, title = {{ISE/ISHNE Expert Consensus Statement on ECG Diagnosis of Left Ventricular Hypertrophy : The Change of the Paradigm. The joint paper of the International Society of Electrocardiology and the International Society for Holter Monitoring and Noninvasive Electrocardiology}}, url = {{http://dx.doi.org/10.1016/j.jelectrocard.2023.08.005}}, doi = {{10.1016/j.jelectrocard.2023.08.005}}, volume = {{81}}, year = {{2023}}, }