A comparison of Cornell and Sokolow-Lyon electrocardiographic criteria for left ventricular hypertrophy in a military male population in Taiwan: the Cardiorespiratory fitness and HospItalization Events in armed Forces study

Su, Fang-Ying; Li, Yi-Hwei; Lin, Yanyu; Lee, Chung‐Jen; Wang, Chih‐Hung; Meng, Fan-Chun; Yu, Yun-Shun; Lin, Felicia; Wu, Hsien‐Tsai; Lin, Gen‐Min

doi:10.21037/cdt.2017.01.16

Cited by 32 publications

(30 citation statements)

References 26 publications

(32 reference statements)

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“…10) It is reported that the diagnostic criteria for LVH can differ between races. [14][15][16][17] The aim of the present study, therefore, was to test whether this new diagnostic criterion for LVH improved sensitivity in the Japanese general population.…”

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Novel Electrocardiographic Criteria for the Diagnosis of Left Ventricular Hypertrophy in the Japanese General Population

et al. 2019

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Although there are several diagnostic criteria for left ventricular hypertrophy (LVH), their sensitivity remains low. A recent study reported that the sum of the amplitude of the deepest S wave in any lead (SD) and the S wave in lead V4 (SV4) (SD + SV4) improved sensitivity compared with commonly used criteria. To test whether this new formula improves sensitivity in the Japanese general population, we analyzed 12-lead electrocardiograms for Japanese residents participating in the Iwaki Health Promotion Project (n = 866). Left ventricular mass was calculated by echocardiography, indicating that 156 (18%) of the study population had LVH. In receiver operating characteristic analyses, the sum of the R wave in limb lead Ι (RLΙ) and the S wave in V4 (SV4) (RLΙ + SV4) showed a higher area under the curve (AUC = 0.76) than the Sokolow-Lyon voltage criteria (0.61) and the SD + SV4 criteria (0.63), and almost the same AUC as the Cornell voltage criteria (0.74) and the Cornell product criteria (0.76). The validation study also showed similar results. The cutoff values of RLΙ + SV4 criteria were ! 1.6 mV in men and ! 1.4 mV in women with a sensitivity of 39% and a specificity of 89%, whereas the sensitivity and specificity calculated based on SD + SV4 criteria were 21% and 94%, respectively. Thus, the diagnostic criterion of RLΙ + SV4 seems to be more useful than the previous criteria for diagnosing LVH in the Japanese general population.

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confidence: 99%

Novel Electrocardiographic Criteria for the Diagnosis of Left Ventricular Hypertrophy in the Japanese General Population

et al. 2019

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“… 21 In 539 young army men in Taiwan, Su et al found that the Cornell voltage and product criteria had better performance for the echocardiographic LVH than the Sokolow–Lyon criteria, with a sensitivity of 22.2%, 27.8%, and 8.3%, respectively. 22 However, in 332 Korean patients seen in a cardiology department, Park et al demonstrated that the Cornell product criterion was superior to the Sokolow–Lyon voltage criterion in women, but the opposite was true in men. 23 …”

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Performance of Electrocardiographic Criteria for Echocardiographically Diagnosed Left Ventricular Hypertrophy in Chinese Hypertensive Patients

Wang

Zhang

et al. 2020

American Journal of Hypertension

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BACKGROUND Performance of electrocardiographic (ECG) criteria for echocardiographically diagnosed left ventricular hypertrophy (LVH) in Chinese hypertensive patients is not well known. We investigated the accuracy of various ECG criteria for the diagnosis of the echocardiographic LVH according to the new cutoff values of left ventricular mass (LVM) index (>115 g/m2 for men and >95 g/m2 for women) in Chinese hypertensive patients. METHODS Our study included 702 consecutive hypertensive inpatients including 92 (13.1%) concentric and 121 (17.2%) eccentric LVH on standard echocardiography. Diagnostic accuracy of 7 ECG criteria was evaluated by calculating sensitivity and specificity and by using the receiver operating characteristic curves. RESULTS The ECG criteria for the detection of the echocardiographically defined LVH had a sensitivity of 15% to 31.9% and specificity of 91.6% to 99.2% overall, 20.7% to 43.5% and 91.6% to 99.2% concentric, and 7.4% to 23.1% and 91.6% to 99.2% eccentric. ECG diagnosis of LVH defined as the positive diagnosis of any of 4 ECG criteria including Sokolow-Lyon voltage, Cornell voltage, Cornell product and RavL voltage had a sensitivity of 54% and specificity of 86.3% overall, 71.7% and 86.3% concentric, and 40.5% and 86.3% eccentric. After adjustment for confounding factors, various ECG criteria were significantly correlated with LVM, with standardized β coefficients from 0.20 to 0.39 (P<0.001) and the highest coefficient for the Cornell product criterion. CONCLUSIONS All ECG LVH indexes had low sensitivity and high specificity in Chinese hypertensive patients. Combination of 4 or all ECG criteria might improve sensitivity without any loss of specificity.

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“…У хворих на ДАК дітей не було зафіксовано клінічних та допплерехокардіографічних ознак серцевої недостатності .Кардіографічний Індекс Соколо-А. В. Каменщик © Сумський державний університет, 2018 ва-Лайона (ІСЛ) розраховувався як сума біоелектричних потенціалів зубців S1 й максимального зубця R5 чи R6 (mV) у грудних відведеннях [7,8], Корнельський вольтаж ний індекс (КВІ) розраховувався як сума біоелектричних потенціалів зубця R у відведенні aVL (R VL) та зубця S у відведенні V3 [ 9,10]. Тривалість електричної систоли шлуночків (ТС) розраховувалась як довжина інтервалу Q-T у секундах [11].…”

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Diagnostic Value of Ecg-Indexes in Children With Bicuspid Aortic Valve

2018

Ž. klìn. eksp. med. dosl.

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A comparison of Cornell and Sokolow-Lyon electrocardiographic criteria for left ventricular hypertrophy in a military male population in Taiwan: the Cardiorespiratory fitness and HospItalization Events in armed Forces study

Cited by 32 publications

References 26 publications

Novel Electrocardiographic Criteria for the Diagnosis of Left Ventricular Hypertrophy in the Japanese General Population

Novel Electrocardiographic Criteria for the Diagnosis of Left Ventricular Hypertrophy in the Japanese General Population

Performance of Electrocardiographic Criteria for Echocardiographically Diagnosed Left Ventricular Hypertrophy in Chinese Hypertensive Patients

Diagnostic Value of Ecg-Indexes in Children With Bicuspid Aortic Valve

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