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Three diastolic phases are well recognized; early diastole, diastasis, and late diastole “atrial systole,” all of which can be assessed by cyclic changes in pressure difference between the left atrium (LA) and left ventricle (LV) which result in blood flow between the two chambers (Figure 1 ).
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The ECG diagnosis of LVH is predominantly based on the QRS voltage criteria. The classical paradigm postulates that the increased left ventricular mass generates a stronger electrical field, increasing the leftward and posterior QRS forces, reflected in the augmented QRS amplitude.
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