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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

Bacharova, Ljuba ; Chevalier, Philippe ; Gorenek, Bulent ; Jons, Christian ; Li, Yi Gang ; Locati, Emanuela T. ; Maanja, Maren ; Pérez-Riera, Andrés Ricardo ; Platonov, Pyotr G. LU and Ribeiro, Antonio Luiz P. , et al. (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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organization
publishing date
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}},
}