Skip to main content
SpringerLink
Log in

Left Ventricular Hypertrophy

  • Chapter
The ECG

  • 712 Accesses

Abstract

Left ventricular hypertrophy (LVH) is a common pathologic finding, occurring in about 20% of a population of 50-year-olds, and more in older people. It represents an independent predictor of premature death that is as important as frequent ventricular premature beats. The enhanced risk is due to consecutive malignant ventricular arrhythmias and to heart failure. It is possible to prevent or reduce LVH with drugs such as ACE inhibitors, thus eliminating or diminishing the fatal consequences. Therefore, reliable diagnosis of LVH has been the subject of increased interest during the last two decades.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Klein RC, Zakauddin V, De Maria AN, Mason D. Electrocardiographic diagnosis of left ventricular hypertrophy in the presence of left bundle-branch block. Am Heart J 1984;108:502–6

    Article  PubMed  CAS  Google Scholar 

  2. Kafka H, Burggraf GW, Milliken JA. Electrocardiographic diagnosis of left ventricular hypertrophy in the presence of left bundle branch block: an echocardiographic study. Am J Cardiol 1985;55:103–6

    Article  PubMed  CAS  Google Scholar 

  3. Kannel WB, Gordon T, Offutt D. Left ventricular hypertrophy by electrocardiogram. Prevalence, incidence and mortality in the Framingham study. Ann Intern Med 1969;71:89–105

    Article  PubMed  CAS  Google Scholar 

  4. Levy D, Anderson KM, Savage DD, et al. Echocardiographically detected left ventricular hypertrophy: prevalence and risk factors. The Framingham Heart Study. Ann Intern Med 1988;108:7–13

    Article  PubMed  CAS  Google Scholar 

  5. Hammond IW, Devereux RB, et al. The prevalence and correlates of echocardiographic left ventricular hypertrophy among employed patients with uncomplicated hypertension. J Am Coll Cardiol 1986;7:639–50

    Article  PubMed  CAS  Google Scholar 

  6. Lewis T. Observation upon ventricular hypertrophy with especial reference to preponderance of one or other chamber. Heart 1914 15:367

    Google Scholar 

  7. Gubner R, Ungerleider HE. Electrocardiographic criteria for left ventricular hypertrophy. Arch Intern Med 1943;72:196–210

    Article  Google Scholar 

  8. Sokolow M, Lyon TR The ventricular complex in left ventricular hypertrophy as obtained by unipolar precordial and limb leads. Am Heart J 1949;37:161–86

    Article  PubMed  CAS  Google Scholar 

  9. Schillaci G, Verdecchia P, Borgioni C, et al. Improved electrocardiographic diagnosis of left ventricular hypertrophy. Am J Cardiol 1994;74:714–98

    Article  PubMed  CAS  Google Scholar 

  10. Casale PN, Devereux RB, Kligfield P, et al. Electrocardiographic detection of left ventricular hypertrophy: development and prospective validation of improved criteria. J Am Coll Cardiol 1985;6:572–80

    Article  PubMed  CAS  Google Scholar 

  11. Molloy TJ, Okin PM, Devereux RB, Kligfield P. Electrocardiographic detection of left ventricular hypertrophy by the simple QRS voltage-duration product. J Am Coll Cardiol 1992:20: 1180–6

    Article  PubMed  CAS  Google Scholar 

  12. Koehler NR, Velho FJ, Bodanese LC, et al. Evaluation of QRS voltage in 12 derivations and Cornell criteria in the diagnosis of left ventricular hypertrophy. Arq Bras Cardiol 1994:63: 197–201

    PubMed  CAS  Google Scholar 

  13. Romhilt DW, Estes EH. A point-score system for the ECG diagnosis of left ventricular hypertrophy. Am Heart J 1968;75:752–8

    Article  PubMed  CAS  Google Scholar 

  14. Norman JE Jr, Levy D. Improved electrocardiographic detection of echocardiographic left ventricular hypertrophy: results of a correlated data base approach. J Am Coll Cardiol 1995;26:1022–9

    Article  PubMed  Google Scholar 

  15. Jaggy C, Perret F, Bovet P, et al. Performance of classic electrocardiographic criteria for left ventricular hypertrophy in an African population. Hypertension 2000;36:54–61

    Article  PubMed  CAS  Google Scholar 

  16. Vandenberg B, Sagar K, Paulsen W, Romhilt D. Electrocardiographic criteria for the diagnosis of left ventricular hypertrophy in the presence of complete right bundle branch block. Am J Cardiol 1989;63:1080–4

    Article  PubMed  CAS  Google Scholar 

  17. Gertsch M, Theler A, Foglia E. Electrocardiographic detection of left ventricular hypertrophy in the presence of left anterior fascicular block. Am J Cardiol 1988;61:1098–101

    Article  PubMed  CAS  Google Scholar 

  18. Milliken JA. Isolated and complicated left anterior fascicular block: a review of suggested electrocardiographic criteria. J Electrocardiol 1983;16:199–212

    Article  PubMed  CAS  Google Scholar 

  19. Bozzi G, Figini A. Left anterior hemiblock and electrocardiographic diagnosis of left ventricular hypertrophy. Adv Cardiol 1976;16:495–500

    PubMed  CAS  Google Scholar 

  20. Sakamoto T, Tei C, Murayama M, et al. Giant T wave inversion as a manifestation of asymmetrical apical hypertrophy (AAH) of the left ventricle. Echocardiographic and ultrasonocar-diotomographic study. Jap Heart J 1976;17:611–29

    Article  PubMed  CAS  Google Scholar 

  21. Suzuki J, Watanabe F, Takenaka K, et al. New subtype of apical hypertrophic cardiomyopathy identified with nuclear magnetic resonance imaging as an underlying cause of markedly inverted T waves. J Am Coll Cardiol 1993;22:1175–81

    Article  PubMed  CAS  Google Scholar 

  22. Cabrera E, Monroy JR. Systolic and diastolic loading of the heart. Part I. Physiologic and clinical data. Am Heart J 1952;43:661

    Article  PubMed  CAS  Google Scholar 

  23. Cabrera E, Monroy JR. Systolic and diastolic loading of the heart. Part II. Electrocardiographic data. Am Heart J 1952:43:669

    Article  PubMed  CAS  Google Scholar 

  24. Russo R, Rizzoli G, Stritoni P, et al. T-wave changes in patients with hemodynamic evidence of systolic or diastolic overload of the left ventricle: a retrospective study on isolated chronic aortic valve disease. Int J Cardiol 1987;14:137–43

    Article  PubMed  CAS  Google Scholar 

  25. Pipberger HV, Goldman MJ, Littmann D, et al. Correlations of the orthogonal electrocardiogram and vectorcardiogram with constitutional variables in 518 normal men. Circulation 1967;35:536–51

    Article  PubMed  CAS  Google Scholar 

  26. Sullivan JM, Vander Zwaag RV, el-Zeky F, et al. Left ventricular hypertrophy: effect on survival. J Am Coll Cardiol 1993;22:508–13

    Article  PubMed  CAS  Google Scholar 

  27. Haider AW, Larson MG, Benjamin EJ, Levy D. Increased left ventricular mass and hypertrophy are associated with increased risk for sudden death. J Am Coll Cardiol 1998;32:1454–9

    Article  PubMed  CAS  Google Scholar 

  28. Benjamin EJ, Levy D. Why is left ventricular hypertrophy so predictive of morbidity and mortality. Am J Med Sei 1999:317: 168–75

    Article  CAS  Google Scholar 

  29. Larsen CT, Dahlin J, Blackburn H, et al. Prevalence and prognosis of electrocardiographic left ventricular hypertrophy, ST segment depression and negative T wave; the Copenhagen City Heart Study. Eur Heart J 2002;23:315–24

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiology, Swiss Cardiovascular Center Bern, University Clinic Inselspital, CH-3010, Bern, Switzerland

    Professor Dr. Marc Gertsch

Authors
  1. Professor Dr. Marc Gertsch
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Gertsch, M. (2004). Left Ventricular Hypertrophy. In: The ECG. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10315-9_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-10315-9_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-05656-7

  • Online ISBN: 978-3-662-10315-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation