Validity of electrocardiographic criteria for increased left ventricular mass in young patients in the general population

Sklyar, Eduard; Ginelli, Paul; Barton, Aaron; Peralta, Richard; Bella, Jonathan N.

doi:10.4330/wjc.v9.i3.248

Cited by 8 publications

(9 citation statements)

References 35 publications

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“…RaVL criterion in our study was found to have lower sensitivity and specificity than was known from the previous studies [14,15,16]. Cornell voltage and Cornell product criteria were slightly more reliable for diagnosing LVH and had similar sensitivity and specificity as in other studies [14,15,17,18,19]. The reliability of Peguero-Lo Presti criterion to diagnose LVH was not as high as described by the developers of this criterion, but the sensitivity and specificity was not as low as in a study conducted in Japan [14,18].…”

Section: Discussioncontrasting

confidence: 76%

“…A part of calculated sensitivity and specificity of ECG criteria differed from those that were seen in previous studies. RaVL criterion in our study was found to have lower sensitivity and specificity than was known from the previous studies [14,15,16]. Cornell voltage and Cornell product criteria were slightly more reliable for diagnosing LVH and had similar sensitivity and specificity as in other studies [14,15,17,18,19].…”

Section: Discussioncontrasting

confidence: 54%

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Evaluation of the Reliability of Electrocardiographic Criteria for Cardiac Hypertrophy Based on Echocardiographic Data

Augustaitytė

Kalinauskienė

2022

AML

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Background. Left ventricular hypertrophy (LVH) regardless of other risk factors may be associated with an increased risk of mortality from cardiovascular diseases. Therefore, timely diagnosis for LVH is important in order to avoid possible complications. One of the simplest and cheapest methods to diagnose LVH is electrocardiography (ECG). Although a number of ECG criteria for LVH is known, their reliability varies in many studies.Aim. To evaluate the reliability of ECG criteria for LVH based on transthoracic echocardiography (TTE) data.Methods. The study included all consecutive patients in Kaunas Clinical Hospital Department of Cardiology from December 2019 until March 2020 and from September until October 2020, after applying the inclusion and exclusion criteria. The sensitivity and specificity of the ECG criteria for LVH were assessed based on TTE measurements performed during the same inpatient setting. The reliability of the ECG criteria for LVH was assessed using ROC curves. Reliability differences in gender, age and nutritional status groups were assessed using ANOVA statistical method.Results. Data from 95 patients were analyzed (63.2% were women and 36.8% were men). The sensitivity, specificity and AUC of Sokolow–Lyon criterion were 9.38%, 85.71% and 0.44 (p = 0.034), R in aVL – 6.25%, 90.48% and 0.51 (p = 0.038), Cornell – 21.88%, 100 % and0.69 (p = 0.084), Cornell product – 31.25%, 95.24% and 0.72 (p = 0.070), Peguero–Lo Presti – 31.25%, 85.71% and 0.68 (p = 0.053), respectively. No statistically significant differences were observed among the individual gender, age and nutritional status groups.Conclusions. Sokolow–Lyon and RaVL criteria were not statistically significantly reliable in LVH diagnosis compared to TTE, unlike the Cornell, Cornell product, and Peguero–Lo Presti criteria.

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Section: Discussioncontrasting

confidence: 76%

Section: Discussioncontrasting

confidence: 54%

Evaluation of the Reliability of Electrocardiographic Criteria for Cardiac Hypertrophy Based on Echocardiographic Data

Augustaitytė

Kalinauskienė

2022

AML

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“…S wave of greater duration than R wave or greater than 40 ms in leads I and V6. Normal R peak time in leads V5 and V6 but greater than 50 ms in lead V1 [38] Poor R wave progression (PRWP) R-wave in V3 or V4 ≤2 mm [39] Left atrial enlargement (LAE) any one of the following: 1) P wave in any lead > 0.11s, 2) Notched P wave with interpeak duration > 0.04s (P mitrale), 3) P wave axis < 30°, 4) Area of negative P terminal force in lead V1 (NPTF-V1) > 0.04s•mm, or 5) Positive P terminal force in aVL (PPTF-aVL) > 0.5 mm [40] left ventricular hypertrophy (LVH) Sokolow-Lyon voltage criteria: the amplitude of the S wave in lead V1 was added to the largest amplitude of the R wave in either lead V5 or V6, with a value greater than or equal to 35 mm meeting criteria for LVH [41] Right atrial enlargement (RAE) Any one of the following: 1) P wave in inferior leads II, III, aVF > 2.5 mm or 2) Positive P wave in V1 > 1.5 mm [40] Right ventricular hypertrophy (RVH)…”

Section: Availability Of Data and Materialmentioning

confidence: 99%

Simple Laboratory and Clinical Parameters as Predictor for Electrocardiographic Abnormalities Among Hospitalized Patients with Chronic Kidney Disease: A Cross-Sectional Study

Julario

Nugraha

Khrisna

et al. 2021

Preprint

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BackgroundIn developing countries, even electrocardiography (ECG) hasn’t been used widely in most health-care centers. The ability of physicians to refer to chronic kidney disease (CKD) patients for ECG, often collide with several barriers and costs. Therefore, we need to formulate the simplest and most efficient model to predict when CKD patients need to be referred due to potential ECG abnormalities.ObjectiveThe aim of this study was to develop several clinical and laboratory parameters as a predictor of any ECG abnormalities.Materials and MethodsA retrospective cross-sectional study design held at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Subjects were hospitalized patients with CKD between 1 January to 31 December 2019. 198 CKD patients (101 males) were enrolled for the study. All patients had demographic information, detailed clinical profile, resting 12-lead ECG recording, complete blood count, serum electrolyte and renal function test profile during admission and results were interpreted blindly by two cardiologists. Statistical analysis was done by SPSS 17.0.ResultsA total of 198 patients were included in this study. Mean ages were 52.2±11.8 years old and fifty-one percent were males. Eighty-eight percent of patients from 198 patients had ECG abnormality. AUC of hemoglobin level to discriminate poor R wave progression, pathological Q wave, non-spesific ST-T changes, and frontal axis deviation were 0.532, 0.641, 0.556 and 0.693, respectively. In multivariate logistic regression analysis, only higher systolic blood pressure was determined as an independent predictor of abnormal ECG finding in CKD patients, as systolic blood pressure increase by one unit, the odds of having abnormal ECG is increased 1.02 times (95% CI: 1.00 – 1.02, p=0.042).ConclusionThe ECG abnormalities can be found in hospitalized CKD patients. Fragmented QRS and long QTc were the highest prevalent ECG abnormalities in our study. Serum creatinine and hemoglobin could predict peaked T wave and prolonged QTc among hospitalized CKD patients. Systolic blood pressure could predict prolonged QTc and fragmented QRS in CKD patients.

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“…1 According to Sokolow-Lyon voltage criteria,LVH is a total S wave at V2 and R wave in wave V5> 35 mm, and this result supports the patient's diagnosis of congestive heart failure. 10 Green Medical Journal, Vol. 2 No.…”

Section: Publisher: Faculty Of Medicine Universitas Muslim Indonesiamentioning

confidence: 99%

Hyperthyroid Heart Disease With Some Comorbidities

Hasanuddin¹,

Dunggio²,

Zubaidi³

2020

GMJ

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Thyroid disease is quite common. The cardiovascular clinical manifestations of hyperthyroidism are palpitation, systolic hypertension, fatigue, or with the basis of existing heart disease, angina or heart failure. In men, the disease is more frequently to develop into congestive heart failure than in women, thus more exploration is needed. This case report discussed a 42-year-old male patient who was admitted to the emergency department due to palpitations, shortness of breath aggravated with activity and lie down position, and alleviated with resting, cough with white sputum, epigastric pain, and constipation since the past 3 days. He was diagnosed with a history of hyperthyroidism and congestive heart disease 1 year ago and routinely consumed propylthiouracil (PTU). He had a history of herniotomy 10 days before admission. The patient did not have a history of hypertension, diabetes mellitus, or hypercholesterolemia. The patient has a smoking habit of up to 3 packs/day since a teenager. The patient was diagnosed with hyperthyroid heart disease (congestive heart failure, atrial fibrillation, and coronary heart disease) with comorbid of electrolyte imbalance, hypoalbuminemia, and thrombocytopenia. The patient was treated in the Intensive Care Unit (ICU) and was given oxygen therapy, crystalloid infusion, antithyroid drug, beta-blocker, diuretics, digitalis, anti-angina, anti-thrombotic, and adjunct therapy. The patient was treated for 8 days in ICU, followed by 2 days in the ward with a good outcome. Early detection and intervention followed by close monitoring is key management for the patient with hyperthyroid heart disease, especially in a male patient, to achieve a better outcome.

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Validity of electrocardiographic criteria for increased left ventricular mass in young patients in the general population

Cited by 8 publications

References 35 publications

Evaluation of the Reliability of Electrocardiographic Criteria for Cardiac Hypertrophy Based on Echocardiographic Data

Evaluation of the Reliability of Electrocardiographic Criteria for Cardiac Hypertrophy Based on Echocardiographic Data

Simple Laboratory and Clinical Parameters as Predictor for Electrocardiographic Abnormalities Among Hospitalized Patients with Chronic Kidney Disease: A Cross-Sectional Study

Hyperthyroid Heart Disease With Some Comorbidities

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