RT Journal A1 Alpert MA, Munuswamy K T1 ELectrocardiographic diagnosis of left atrial enlargement JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1989 FD May 1 VO 149 IS 5 SP 1161 OP 1165 DO 10.1001/archinte.1989.00390050119024 UL http://dx.doi.org/10.1001/archinte.1989.00390050119024 AB • Established scalar electrocardiographic criteria for left atrial enlargement are based on abnormalities of the P-terminal force, total P-wave duration, and the relationship of total P-wave duration to PR-interval duration. These electrocardiographic signs may also result from left atrial hypertension, left atrial hypertrophy, and interatrial conduction defects. This article describes the scalar electrocardiographic criteria for left atrial enlargement in current use, and provides a critical appraisal of their efficacy in diagnosis.(Arch Intern Med. 1989;149:1161-1165)