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- W84405410 abstract "The assumptions underlying the classical approach to the electrocardiographic diagnosis of LVH is that the hypertrophied ventricle generates increased electrical forces. Various sets of criteria based on voltage measurements have thus been proposed. A review of the literature indicates however that the classical Sokolow and Lyon criteria, the more elaborate Romhilt-Estes point score system and, even, various discriminant functions based on VCG measurements, all remain rather disappointing and often reveal a poor sensitivity with an acceptable specificity. Interestingly, for equivalent LV mass, the voltage criteria seem to be more sensitive in the presence of aortic regurgitation than stenosis. Application of the solid-angle theory of electrocardiography provides an explanation for these inconsistencies. It shows that a critical geometric relationship resulting from the interplay of wall thickness and chamber dilation is needed for LVH to appear on the surface electrocardiogram. The characteristics of intraventricular conduction may also be of paramount importance and electrocardiographic patterns of LVH may, for example, be transient and accompany paroxysmal intraventricular conduction disorders." @default.
- W84405410 created "2016-06-24" @default.
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- W84405410 date "1983-01-01" @default.
- W84405410 modified "2023-09-25" @default.
- W84405410 title "Electrocardiographic Aspects of Left Ventricular Hypertrophy" @default.
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- W84405410 doi "https://doi.org/10.1007/978-94-009-6759-5_12" @default.
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