PMID- 25367364 OWN - NLM STAT- MEDLINE DCOM- 20150723 LR - 20231112 IS - 1542-474X (Electronic) IS - 1082-720X (Print) IS - 1082-720X (Linking) VI - 19 IP - 6 DP - 2014 Nov TI - Left ventricular hypertrophy: The relationship between the electrocardiogram and cardiovascular magnetic resonance imaging. PG - 524-33 LID - 10.1111/anec.12223 [doi] AB - Conventional assessment of left ventricular hypertrophy (LVH) using the electrocardiogram (ECG), for example, by the Sokolow-Lyon, Romhilt-Estes or Cornell criteria, have relied on assessing changes in the amplitude and/or duration of the QRS complex of the ECG to quantify LV mass. ECG measures of LV mass have typically been validated by imaging with echocardiography or cardiovascular magnetic resonance imaging (CMR). However, LVH can be the result of diverse etiologies, and LVH is also characterized by pathological changes in myocardial tissue characteristics on the genetic, molecular, cellular, and tissue level beyond a pure increase in the number of otherwise normal cardiomyocytes. For example, slowed conduction velocity through the myocardium, which can be due to diffuse myocardial fibrosis, has been shown to be an important determinant of conventional ECG LVH criteria regardless of LV mass. Myocardial tissue characterization by CMR has emerged to not only quantify LV mass, but also detect and quantify the extent and severity of focal or diffuse myocardial fibrosis, edema, inflammation, myocarditis, fatty replacement, myocardial disarray, and myocardial deposition of amyloid proteins (amyloidosis), glycolipids (Fabry disease), or iron (siderosis). This can be undertaken using CMR techniques including late gadolinium enhancement (LGE), T1 mapping, T2 mapping, T2* mapping, extracellular volume fraction (ECV) mapping, fat/water-weighted imaging, and diffusion tensor CMR. This review presents an overview of current and emerging concepts regarding the diagnostic possibilities of both ECG and CMR for LVH in an attempt to narrow gaps in our knowledge regarding the ECG diagnosis of LVH. CI - (c) 2014 Wiley Periodicals, Inc. FAU - Bacharova, Ljuba AU - Bacharova L AD - International Laser Center, Bratislava, Slovak Republic; Institute of Pathophysiology, Medical School, Comenius University, Bratislava, Slovak Republic. FAU - Ugander, Martin AU - Ugander M LA - eng PT - Journal Article PT - Review DEP - 20141104 PL - United States TA - Ann Noninvasive Electrocardiol JT - Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc JID - 9607443 SB - IM MH - Electrocardiography/*methods MH - Heart Ventricles/pathology MH - Humans MH - Hypertrophy, Left Ventricular/*diagnosis/pathology MH - Magnetic Resonance Imaging/*methods MH - Reproducibility of Results PMC - PMC6932615 OTO - NOTNLM OT - cardiac MRI OT - electrocardiography OT - noninvasive techniques EDAT- 2014/11/05 06:00 MHDA- 2015/07/24 06:00 PMCR- 2014/11/04 CRDT- 2014/11/05 06:00 PHST- 2014/11/05 06:00 [entrez] PHST- 2014/11/05 06:00 [pubmed] PHST- 2015/07/24 06:00 [medline] PHST- 2014/11/04 00:00 [pmc-release] AID - ANEC12223 [pii] AID - 10.1111/anec.12223 [doi] PST - ppublish SO - Ann Noninvasive Electrocardiol. 2014 Nov;19(6):524-33. doi: 10.1111/anec.12223. Epub 2014 Nov 4.