Left ventricular hypertrophy (LVH)

There are many different criteria for LVH.

Sokolow + Lyon (Am Heart J, 1949;37:161)
o S V1+ R V5 or V6 > 35 mm
Cornell criteria (Circulation, 1987;3: 565-72)
o SV3 + R avl > 28 mm in men
o SV3 + R avl > 20 mm in women
Framingham criteria (Circulation,1990; 81:815-820)
o R avl > 11mm, R V4-6 > 25mm
o S V1-3 > 25 mm, S V1 or V2 +
o R V5 or V6 > 35 mm, R I + S III > 25 mm
Romhilt + Estes (Am Heart J, 1986:75:752-58)
o Point score system

JESLY CHARLIES

Left atrial abnormality (dilatation or hypertrophy)

M shaped P wave in lead II
prominent terminal negative component to P wave in lead V1 (shown here)

FORRESTER CLASSIFICATION

Skor HAS-BLED
Skor HAS-BLED (HAS-BLED Score) adalah sistem skoring untuk menilai resiko perdarahan pada pasien
(khususnya pasien fibrilasi atrial) yang direncanakan untuk diberikan obat antikoagulan
Faktor Resiko

Skor

Hypertension

Abnormal liver function 1

Abnormal renal function 1

Stroke

Bleeding

Labile INRs

Elderly (age > 65 yrs)

Drugs

Alcohol

Skor total
Hitung skor total HAS-BLED pasien dengan memasukkan faktor-faktor resiko yang dimilikinya sesuai tabel di atas.
Tabel di bawah menunjukkan resiko pasien tersebut untuk mengalami perdarahan bila diberikan antikoagulan sesuai
dengan total skor HAS-BLED

KILLIP
The study was a case series with unblinded, unobjective outcomes, not adjusted for confounding factors, nor validated in an independent set
of patients. The setting was the coronary care unit of a university hospital in the USA.
250 patients were included in the study (aged 28 to 94; mean 64, 72% male) with a myocardial infarction. Patients with a cardiac arrest prior
to admission were excluded.
Patients were ranked by Killip class in the following way:

Killip class I includes individuals with no clinical signs of heart failure.

Killip class II includes individuals with rales or crackles in the lungs, an S3, and elevated jugular venous pressure.
Killip class III describes individuals with frank acute pulmonary edema.
Killip class IV describes individuals in cardiogenic shock or hypotension (measured as systolic blood pressure lower than 90 mmHg),
and evidence of peripheralvasoconstriction (oliguria, cyanosis or sweating).