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Among different markers of HMOD, the most frequent functional and structural adaptations can be observed at cardiac level, including left ventricular hypertrophy (LVH), diastolic dysfunction, aortic root dilatation, and left atrial enlargement. In particular, LVH was shown to be a strong and independent risk factor for major CV events, namely myocardial infarction, stroke, congestive heart failure, CV death. Thus, early identification of LVH is a key element for preventing CV events in hypertension. Although echocardiographic assessment of LVH represents the gold standard technique, this is not cost\u2010effective and cannot be adopted in routine clinical practice of hypertension. On the other hand, electrocardiographic (ECG) assessment of HMOD relative to the heart is a simple, reproducible, widely available and cost\u2010effective method to assess the presence of LVH, and could be preferred in large scale screening tests. Several new indicators have been proposed and tested in observational studies and clinical trials of hypertension, in order to improve the relatively low sensitivity of the conventional ECG criteria for LVH, despite high specificity. This article reviews the differences in the use of the main conventional and the new 12 lead ECG criteria of LVH for early assessment of asymptomatic, subclinical cardiac HMOD in a setting of clinical practice of hypertension.<\/jats:p>","DOI":"10.1111\/jch.13726","type":"journal-article","created":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T15:46:34Z","timestamp":1573055194000},"page":"1863-1871","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Conventional and new electrocardiographic criteria for hypertension\u2010mediated cardiac organ damage: A narrative review"],"prefix":"10.1111","volume":"21","author":[{"given":"Francesca","family":"Miceli","sequence":"first","affiliation":[{"name":"Hypertension Unit Division of Cardiology Department of Clinical and Molecular Medicine Faculty of Medicine and Psychology University of Rome Sapienza Sant\u2019Andrea Hospital Rome 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