Abstract
Abstract. A simplified point score system for the ECG diagnosis of left ventricular hypertrophy (LVH) has been tested on 470 autopsies. The total heart weight, adjusted for sex and body length, was used as an indicator of LVH. Patients below 50 years were excluded. A score of more than 2 points strongly indicates an increased heart weight (HW). Forty‐two patients scored more than 2 points, 39 (93%) having increased HW, 3 (7%) a borderline HW, and none a normal HW. A score of 1 or 2 points suggests an increased HW, 119 patients having this score, 64 (54%) an increased HW, 42 (35%) a borderline HW, and 13 (11%) a normal HW. A score of 0 point should be interpreted with caution. If the ECG shows no sign of myocardial infarction (MI) or right ventricular hypertrophy (RVH), and ischemic heart disease can be ruled out, this score indicates a normal HW. Left bundle branch block (LBBB) suggests an increased HW. Forty‐five patients had LBBB, 34 (76%) having increased HW.
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