[ECG diagnosis of left ventricular hypertrophy associated with a left anterior fascicular block].
The hitherto available ECG indices for the detection of left ventricular hypertrophy in the presence of left anterior fascicular block do not provide a reliable diagnosis. We have therefore constructed a new ECG index, based on vectorcardiographic considerations, and assessed its value by echocardiographic measurements. The new ECG index SIII + (R + S)max precordial greater than or equal to 30 mm, applied to the ECGs of 50 patients without myocardial infarction and without right bundle branch block, showed a specificity of 87.5%, a sensitivity of 96.1% and a positive predictive value of 89.2%.
D002037:Bundle-Branch Block / Q000150:complications / Q000175:diagnosis*; D006332:Cardiomegaly / Q000150:complications / Q000175:diagnosis*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D014672:Vectorcardiography
EKG-Diagnose der linksventrikulären Hypertrophie beim Vorliegen eines linksanterioren Faszikelblocks.