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Ipertrofia ventricolare sinistra
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Definizione
Criteri per la diagnosi di Ipertrofia ventricolare sinistra.
Romhilt-Estes (5 punti = definitiva ipertrofia del ventricolo sinistro; 4 punti = probabile IVS):
Reperto
Punti
Onda R o S ≥ 20 mm in ogni derivazione ECG degli arti inferiori o Onda S in V1 o V2 ≥ 30 mm o Onda R in V5 o V6 ≥ 30 mm
3
Alterazioni ST-T tipiche di ipertrofia del ventricolo sinistro
—
Digossina
1
Nessuna digossina
3
Modificazioni dell’atrio sinistro: onda P terminale in V1, ampiezza ≥ 1 mm, e la durata ≥ 0,04 secondi
3
Deviazione assiale sinistra ≥−30°
2
Durata del QRS ≥ 90 millisecondi
1
Intervallo tra QRS e picco dell’onda R in V5 o V6 ≥ 0,05 secondi
