title: The 4th Report of the Working Group on ECG diagnosis of Left Ventricular Hypertrophy.
abstract: The 4th Report provides a brief review of publications focused on the electrocardiographic diagnosis of left ventricular hypertrophy published during the period of 2010 to 2016 by the members of the Working Group on ECG diagnosis of Left Ventricular Hypertrophy. The Working Group recommended that ECG research and clinical attention be redirected from the estimation of LVM to the identification of electrical remodeling, to better understanding the sequence of events connecting electrical remodeling to outcomes. The need for a re-definition of terms and for a new paradigm is also stressed.
authors.affiliation: International Laser Center, Bratislava, Slovak Republic; Institute of Pathophysiology, Medical School, Comenius University, Bratislava, Slovak Republic. Electronic address: Bacharova@ilc.sk.
authors.forename: Ljuba
authors.initials: L
authors.lastname: Bacharova
authors.affiliation: Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA.
authors.forename: Harvey E
authors.initials: HE
authors.lastname: Estes
authors.affiliation: Division of Cardiology, Duke University School of Medicine, Durham, USA.
authors.forename: Douglas D
authors.initials: DD
authors.lastname: Schocken
authors.affiliation: Department of Clinical Physiology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Martin
authors.initials: M
authors.lastname: Ugander
authors.affiliation: Epidemiological Cardiology Research Center (EPICARE), Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
authors.forename: Elsayed Z
authors.initials: EZ
authors.lastname: Soliman
authors.affiliation: Department of Internal Medicine, Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Hill
authors.affiliation: Copenhagen University Hospital, Rigshospitalet, The Heart Center, Department of Cardiology, Denmark.
authors.forename: Lia E
authors.initials: LE
authors.lastname: Bang
authors.affiliation: Department of Clinical Physiology, Karolinska University Hospital and Karolinska Institute, Stockholm, Sweden; Nicollier-Schlegel SARL, Trélex, Switzerland.
authors.forename: Todd T
authors.initials: TT
authors.lastname: Schlegel
mesh_terms: D002309:Cardiology / Q000592:standards*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods* / Q000592:standards*; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis*; D017410:Practice Guidelines as Topic; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014481:United States
keywords: Electrical remodeling; Electrocardiogram; Left ventricular hypertrophy; New paradigm; Working group