Criteria for ECG Diagnosis of Left Ventricular Hypertrophy

Cornell

Men: V3 S wave + aVL R wave > 28 mm

N/A

Women: V3 S wave + aVL R wave > 20 mm

N/A

Romhilt-Estes (5 points = definite LVH; 4 points = probable LVH)

R or S wave ≥ 20 mm in any limb lead

or

S wave in V1 or V2 ≥ 30 mm

or

R wave in V5 or V6 ≥ 30 mm

3

ST-T changes typical of LVH

—

1

3

Left atrial changes: P terminal wave in V1, amplitude ≥ 1 mm, and duration ≥ 0.04 second

3

Left axis deviation ≥− 30°

2

QRS duration ≥ 90 millisecond

1

Interval between QRS and R-wave peak in V5 or V6 ≥ 0.05 second

1

Sokolow-Lyon

V1 S wave + V5 or V6 R wave ≥ 35 mm

or

aVL R wave ≥ 11 mm

N/A