Romhilt-Estes LVH Point Score
Romhilt-Estes LVH point score (1968): voltage 3, ST-T strain 3 (1 on digitalis), LA abnormality 3, left axis 2, QRS 1, intrinsicoid deflection 1; >= 5 definite LVH, 4 probable.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Voltage criterion met
- Yes
- ST-T strain pattern
- 3
Result: Romhilt-Estes 6 — definite LVH (>= 5).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- <= 3
- LVH not met.
- 4
- Probable LVH.
- >= 5
- Definite LVH (voltage 3, ST-T strain 3, LA abnormality 3, LAD 2, QRS 1, intrinsicoid 1). An ECG score, not a diagnosis.
What you enter
- Voltage criterion met (3)
- ST-T strain pattern (0/3/1)
- Left atrial abnormality (3)
- Left axis deviation >= -30 deg (2)
- QRS duration >= 90 ms (1)
- Intrinsicoid deflection V5/V6 >= 50 ms (1)
How this is calculated
Romhilt DW, Estes EH Jr. A point-score system for the ECG diagnosis of left ventricular hypertrophy. Am Heart J. 1968;75(6):752-758. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.