Measurement of LVH

[John]

How is the LVH measured, and how are they categorized? I mean,
how much of enlargement is called mild, moderate, servere etc?

John

[Kathy]

Sorry,I forgot to add that the E-IVS (whatever that is) measured at 3 mm., normal stating greater than 6 mm.

Can you tell me the significance of all of this?

Thank you very much!

[Kathy]

I was curious as to which portion of the LVH measurement you are writing about. Is the 1.3 cm. the posterior wall? I have a report on a teenager stating the posterior wall is enlarged at 1.3 cm., the interventricular septum is enlarged at 1.4 cm. Left ventricular diastole is 4.7 cm., left ventricular systolic is 3 cm. There is also tricuspid insufficiency and mild mitral valve prolapse. The diagnosis states concentric left ventricular hypertrophy (hypertension x1 year prior to echo).

Thanks for your comments.

[Cleveland Clinic, MD]

There is some overlap between mild and normal.

[John]

If a normal limits are .7--1.1cm why would 1.0 and 1.1cm be considered mild and moderate?Thank you.John

[Cleveland Clinic, MD]

LVH is measured on echocardiogram.  Some of it is a visual estimate but a rough guideline would be 1-1.1 cm mild; 1.1 to 1.3  moderate > 1.3 severe.