Table 1.
Lead | LBBB Selvester score criteria | Points | Maximum points | |
---|---|---|---|---|
Anterosuperior wall | I | (i) R/Q ≤ 1.5 | 1 | 1 |
(ii) R/S ≤ 1.5 | ||||
aVL | (i) Q ≥ 50 ms | 2 | 4 | |
(ii) Q ≥ 40 ms | 1 | |||
(iii) R/S ≤ 0.5 | 2 | |||
(iv) R/Q ≤ 0.5 | ||||
(v) R/S ≤ 1.0 | 1 | |||
(vi) R/Q ≤ 1.0 | ||||
| ||||
Inferior wall | II | (i) Q ≥ 40 ms | 2 | 3 |
(ii) Q ≥ 30 ms | 1 | |||
(iii) R/Q ≤ 0.5 | 1 | |||
(iv) R/S ≤ 0.5 | ||||
aVF | (i) Q ≥ 50 ms | 2 | 3 | |
(ii) Q ≥ 40 ms | 1 | |||
(iii) R/Q ≤ 0.5 | 1 | |||
(iv) R/S ≤ 0.5 | ||||
| ||||
Anteroseptal wall | V 1 | (i) Notch first 40 ms | 1 | 3 |
(ii) R ≥ 0.3 mV | 2 | |||
(iii) R ≥ 30 ms | ||||
(iv) R ≥ 0.2 mV | 1 | |||
(v) R ≥ 20 ms | ||||
V 2 | (i) Notch first 40 ms | 1 | 3 | |
(ii) R ≥ 0.4 mV | 2 | |||
(iii) R ≥ 30 ms | ||||
(iv) R ≥ 0.3 mV | 1 | |||
(v) R ≥ 20 ms | ||||
| ||||
Posterolateral wall | V 1 | (i) S/S' ≥ 2.0 | 3 | 3 |
(ii) S/S' ≥ 1.5 | 2 | |||
(iii) S/S' ≥ 1.25 | 1 | |||
V 2 | (i) S/S' ≥ 2.5 | 3 | 3 | |
(ii) S/S' ≥ 2.0 | 2 | |||
(iii) S/S' ≥ 1.5 | 1 | |||
| ||||
Apical segments | I | (i) Any Q | 1 | 2 |
(ii) R ≤ 0.2 mV | ||||
(iii) R/Q ≤ 1.0 | 1 | |||
(iv) R/S ≤ 1.0 | ||||
V 5 | (i) Any Q | 1 | 4 | |
(ii) R/R' ≥ 2.0 | 2 1 |
|||
(iii) R/R' ≥ 1.0 | ||||
(iv) R/S ≤ 2.0 | ||||
(v) R ≤ 0.5 mV | 1 | |||
V 6 | (i) Q ≥ 20 ms | 1 | 4 | |
(ii) R/R' ≥ 2.0 | 2 1 |
383 | ||
(iii) R/R' ≥ 1.0 | ||||
(iv) R/S ≤ 2.0 | ||||
(v) R ≤ 0.6 mV | 1 | 384 |