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ECG. Persistent characteristic ST elevation after MI; Non-specific ST segment changes; Q or QS waves; T waves small relative to QRS; No reciprocal changes; CXR. Prominent left heart border; Calcified aneurysm; May have mass-like appearance; TTE; LV angiography; Cardiac MRI; Diagnosis. Differentiate left ventricular aneurysm from STEMI and other .ECG Diagnostic criteria. There are numerous voltage criteria for diagnosing LVH, summarised below. The most commonly used are the Sokolov-Lyon criteria: S wave depth in V1 + tallest R wave height in V5-V6 > 35 mm. Voltage criteria must be accompanied by non-voltage criteria to be considered diagnostic of LVH.
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