Estes Criteria for LVH

≥5 points is diagnostic of LVH
=4 points implies probable LVH

ECG

Points

Votage Criteria – any of the following:

  • Either R or S in limb leads ≥20 mm
  • S in V1 or V2 ≥30 mm
  • R in V5 or V6 ≥30 mm

3

ST-T Wave Abnormalities pt not on digitalis therapy

3

ST-T Wave Abnormalities pt. on digitalis therapy

1

Left Atrial Enlargement in V1

3

Left Axis Deviation

2

QRS duration 0.09 sec

1

Delayed intrinsicoid deflection in V5 or V6 (>0.05 sec)

1

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