From the Research
Voltage Criteria for Left Ventricular Hypertrophy (LVH)
The following voltage criteria for LVH are mentioned in the studies, excluding Sokolow-Lyon, Dunn's, Estes', and Cornell's criteria:
- Araoye code system 1
- Gubner-Ungerleider criteria 1
- Amplitude total and Amplitude total product criteria 2
- R-wave voltage in lead aVL (RaVL) 3
- QRS area criteria, including Cornell area and Sokolow area 4
Comparison of Voltage Criteria
The studies compare the performance of different voltage criteria for LVH diagnosis, including:
- Romhilt-Estes (R-E) criteria vs. voltage-based criteria (Cornell, modified Cornell, and Sokolow-Lyon) 5
- RaVL vs. Cornell and Sokolow-Lyon criteria 3
- ECG voltage criteria (including Cornell Voltage, Sokolov, Gubner, and Amplitude total and Amplitude total product) in patients with hypertrophic cardiomyopathy 2
- Araoye code system, Cornell, and Gubner-Ungerleider criteria vs. echocardiography 1
- Cornell and Sokolow-Lyon products, and Cornell and Sokolow-Lyon areas vs. voltage criteria 4
Performance of Voltage Criteria
The studies report the following performance of voltage criteria for LVH diagnosis:
- Araoye code system, Cornell, and Sokolow-Lyon criteria compared favorably with echocardiography 1
- Gubner-Ungerleider criterion had low sensitivity but high specificity 1
- RaVL showed the best positive correlation with LV mass indexed to Ht(2.7) and superior performance in detecting ECHO-LVH 3
- Amplitude total and Amplitude total product criteria achieved maximal diagnostic accuracy in HCM population 2
- Cornell and Sokolow-Lyon products, and Cornell and Sokolow-Lyon areas improved the detection of ECG-LVH in the hypertensive population 4