“…The first 400 technically satisfactory records were read independently by each of the authors, and coded according to the modification of the Minnesota code published by Rose and Blackburn [1968]. Code 9.4 (abnormal clockwise and counterclockwise rotation) was not used; right ventricular hypertrophy was graded according to the criteria of Goodwin and Abdin [1959]. The presence of a dominant R wave in lead aVR or V4R, or of a dominant S wave in lead V5 (in the absence of evidence of anterior myocardial infarction) is taken to indicate right ventricular hypertrophy.…”