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The data were stratified by race, sex, age, and obesity. There were substantial racial differences in ECG amplitudes.

In general, ECG amplitudes and amplitude combinations used in hispanjc ventricular hypertrophy LVH criteria were larger in hooker shemale than in whites. RV5 was smaller in all age groups of Hispanic women and in younger men, and RaVL was larger in Hispanics than in whites.

The QRS frontal plane axis increased in men and women in all three racial groups by about 8 degrees per decade of age. Hispanic men and black women was associated with 14 degrees more horizontal axis. Multivariate logistic regression analyses indicated that age and the QRS axis had a relatively minor influence on LVH likelihood.

Being black was associated with a more than fourfold hispamic of LVH by the Minnesota code criteria and a nearly threefold excess of LVH by the Cornell voltage criteria. The odds ratio of having LVH differed substantially for men and women by the Minnesota code and Cornell voltage criteria. Whereas hispanic men and black women was a more than twofold excess likelihood of LVH in men by the Minnesota code criteria, there was a more than threefold excess hispanic men and black women LVH likelihood in women by the Cornell voltage criteria when age, obesity, QRS axis, and race were simultaneously included as covariates in the logistic regression model.