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The chronic LV volume overload results in chamber enlargement, an eccentric pattern of hypertrophy, and an increase in LV mass that permits the ventricle to eject a large stroke volume, increasing the systolic pressure (increased afterload) to maintain a .
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CORNELL Voltage Criteria for LVH (sensitivity = 22%, specificity = 95%) S in V3 + R in aVL > 24 mm (men) S in V3 + R in aVL > 20 mm (women) Other Voltage Criteria for LVH: Limb-lead voltage criteria: R in aVL ≥ 11 mm or, if left axis deviation, R in aVL ≥ 13 mm plus S in III ≥ 15 mm; R in I + S in III > 25 mm ; Chest-lead voltage criteria:
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