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The ECG diagnosis of LVH is predominantly based on the QRS voltage criteria. The classical paradigm postulates that the increased left ventricular mass generates a stronger electrical field, increasing the leftward and posterior QRS forces, reflected in the augmented QRS amplitude.
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If the LVMI exceeds 95 g/m² for women or 115 g/m² for men: RWT >0.42 — Concentric hypertrophy. RWT ≤0.42 — Eccentric hypertrophy. If the LVMI ≤95 g/m² for women or ≤115 g/m² for men: RWT >0.42 — Concentric remodeling. RWT ≤0.42 — Normal heart. LVEDD (Left Ventricle End Diastolic Dimension) Typical values: 39-56 mm.
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