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Background The electrocardiogram (ECG) is the most widely used screening tool to detect left ventricular hypertrophy (LVH). However, current diagnostic criteria are highly insensitive, particularly in modern society with increasing prevalence of obesity. We aimed to use cardiac magnetic resonance (CMR) imaging to assess anatomical LV axis (frontal and lateral axis) and LV mass across a wide range of different body sizes, to generate a simple and clinically applicable adjustment factor that could be applied to increase the sensitivity of the most commonly used diagnostic criteria.

journal of cardiovascular magnetic resonance

Using CMR to improve the diagnostic accuracy of the ECG for the detection of left ventricular hypertrophy; production of a simple adjustment for body mass index