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. 2021 Apr;10(1):10–16. doi: 10.15420/aer.2020.10

Table 1: Published Algorithms and Their Predictive Value for Differentiating Left Ventricular Outflow Tract from Right Ventricular Outflow Tract Ventricular Arrhythmia.

Author n Algorithm Used Predictive Value
Ouyang et al. 2002[12] 15 R/S amplitude index (>0.5) and R duration index (>0.3) predict LVOT Statistically significant difference between LVOT and RVOT origins
Ito et al. 2003[18] 168 Precordial R wave transition, QRS morphology in lead I, R wave duration index, R/S wave amplitude index in V1, V2 Sensitivity 88%
Specificity 95%
Yoshida et al. 2011[19] 112 TZ index <0 predicts LVOT Sensitivity 88%
Specificity 82%
Betensky et al. 2011[20] 61 V2 transition ratio ≥0.6 predicts LVOT origin Sensitivity 95%
Specificity 100%
Yoshida et al. 2014[21] 207 V2S/V3R index ≤1.5 predicts LVOT origin Sensitivity 89%
Specificity 94%
Kaypakli et al. 2017[22] 123 V1-V2 S-R difference = (V1S + V2S) - (V1R + V2R). If >1.625, predicts RVOT origin Sensitivity 95%
Specificity 85%
He et al. 2018[23] 695 Combined TZ index and V2S/V3R, Y = -1.15 x TZ - 0.494 x (V2S/V3R). If ≥ -0.76, predicts LVOT origin Sensitivity 90%
Specificity 87%
Di et al. 2019[24] 184 V1–V3 transition index > -1.60 predicts RVOT origin Sensitivity 93%
Specificity 86%
Zhang et al. 2017[25] 174 V4/V8 index >2.28 predicts LVOT origin Sensitivity 67%
Specificity 96%
Cheng et al. 2018[26] 191 V3R/V7 ≥0.85 predicts LVOT origin Sensitivity 87%
Specificity 96%

LVOT = left ventricular outflow tract; RVOT = right ventricular outflow tract; TZ = transition zone.