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Serial changes in voltage, QRS vectors, and QRS-T angles were studied in 44 patients who had shown improvement in their electrocardiograms during treatment for hypertension. Changes were observed in a number of electrocardiographic voltage criteria often used in the study of left ventricular hypertrophy. This is consistent with a change in the magnitude of the mean QRS vector and its reflection on a variety of ECG leads even if pretreatment records were normal. Improvement also occurred in the mean T vectors and the QRS-T angle. It is proposed that serial changes in the ECG might be of greater value than pretreatment abnormalities in diagnosing the disorder of cardiac structure or function that occurs in hypertension.

Serial Electrocardiographic Changes in Treated Hypertensive Patients with Reference to Voltage Criteria, Mean QRS Vectors, and the QRS-T Angle