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. 2020 Oct 30;26(2):e12812. doi: 10.1111/anec.12812

Table 1.

ECG Criteria, method of assessing left ventricular ejection fraction (LVEF), and patient characteristics from previous studies correlating ECG findings with LV function4‐9

Number ECG criteria ECG descriptor Author Method for assessing LV function Patients studied (MI or No MI)
1 SV1 or SV2 + RV5 or RV6 ≥ 3.5 mV (Goldberger's first criterion) Prominent precordial QRS amplitudes Goldberger4 Echocardiography (LVEF) Both
2 Mean QRS amplitude in each of the limb leads ≤ 0.8mv (Goldberger's second criterion) Low voltage in limb leads
3 RV4/SV4 < 1 (Goldberger's third criterion) Poor R‐wave progression
4 Goldberger's triad Combination of all 3 Goldberger's criteria
5 Maximal QRS duration ≥ 124 ms QRS duration Cincin et al.5 Echocardiography (LVEF) No MI
6 Maximal QRS duration + Goldberger's first criterion QRS duration and prominent precordial QRS amplitudes
7 Maximal QRS duration + Goldberger's third criterion QRS duration and low voltage in limb leads
8 Maximal QRS duration + Goldberger's first and third criteria QRS duration, prominent precordial QRS amplitudes, and poor R‐wave progression
9 All voltage ratios of RV6/RI, RII, RIII ≥ 3 Prominent QRS voltage in precordial leads and low QRS voltage in limb leads Momiyama et al6 Echocardiography No MI (Dilated Cardiomyopathy)
10 Simplified Selvester QRS score ≥ 10 for LVEF ≤ 30 and Simplified Selvester QRS score ≥ 7 for LVEF ≤ 40 Scores based on Q wave duration and R/Q ratio in limb leads I,II, aVL, and aVF and Q wave duration and R/Q or R/S ratio in precordial leads Bounous EP et al7 and Palmeri et al8 Multigated radionuclide angiography Only MI
11 QRS voltage < 5 mm in all limb leads and > 10 mm in at least 2 contiguous precordial leads Low voltage in limb leads without low voltage in precordial leads Chinitz et al9 Echocardiography (LVEF) Both

Abbreviation: MI, Myocardial infarction.