Left Ventricular Hypertrophy
The Romhilt-Estes Score was one of the early efforts to improve the ability of the Electrocardiogram to detect Left Ventricular Hypertrophy (LVH). This score was developed before any imaging technologies were available 1.
The Romhilt-Estes Score assigned points for the presence of each of six EKG features. If a given EKG reached a total of 5 points, it was considered positive for LVH, and 4 points were considered as probable LVH.
The point score system proved to be more specific in predicting Left Ventricular Hypertrophy than previous systems, but the sensitivity was low, in the range of 60% in the original series, similar to other EKG LVH criteria as the Sokolow-Lyon index or the Cornell voltage criteria 2.
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Romhilt-Estes Point Score System
- 3 points or less: No signs of Left Ventricular Hypertrophy.
- 4 points: Probable Left Ventricular Hypertrophy.
- 5 or more points: Positive for Left Ventricular Hypertrophy 2.
- 1. Estes EH, Zhang ZM, et al. The Romhilt-Estes Left Ventricular Hypertrophy Score and Its Components Predict All-Cause Mortality in the General Population. Am Heart J. 2015 Jul; 170(1): 104–109.
- 2. Romhilt DW, Estes EH Jr. A point-score system for the ECG diagnosis of left ventricular hypertrophy. Am Heart J 1968; 75: 752-758.