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This ECG* demonstrates strain pattern in leads I, aVL, V5, and V6. The patient had severe concentric LVH by echo, but no ECG voltage criteria for LVH. This ECG* demonstrates a strain pattern isolated to V5 and V6.ECG Diagnostic criteria. There are numerous voltage criteria for diagnosing LVH, summarised below. The most commonly used are the Sokolov-Lyon criteria: S wave depth in V1 + tallest R wave height in V5-V6 > 35 mm. Voltage criteria must be accompanied by non-voltage criteria to be considered diagnostic of LVH.
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