Performance of electrocardiographic criteria for detecting LVH in hypertensive Africans

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of electrocardiology Pub Date : 2024-08-12 DOI:10.1016/j.jelectrocard.2024.153773
David Vandroux MD , Salmane Amidou MD, PhD , Souleymane Issa Sarki MD , Julien Magne MD, PhD , Yessito Corine Houehanou MD, PhD , Lucie Chastaingt MD , Victor Aboyans MD, PhD, FESC , Philippe Lacroix MD, PhD , on behalf of TAHES study investigators
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Abstract

Aims

To evaluate the performance of the currently accepted LVH electrocardiographic (ECG) criteria from ethnic-specific normal values.

Methods and results

We included 309 hypertensive subjects with both ECG (12‑leads device) and echocardiographic analysis. The diagnosis of LVH was established by echocardiography from specific norms. Current ECG criteria for the diagnosis of LVH have low performances. Area Under Curve of Sokolow-Lyon, Peguero-Lo Presti, Cornell voltage and Cornell Product were respectively 0.61, 0.65, 0.72 and 0.71.

Conclusion

In hypertensive African, the most accurate criterion for diagnosing LVH is Cornell voltage.

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检测非洲高血压患者 LVH 的心电图标准的性能。
目的:从特定种族的正常值评估目前公认的 LVH 心电图(ECG)标准的性能:我们对 309 名高血压患者进行了心电图(12 导联装置)和超声心动图分析。左心室肥厚的诊断是通过超声心动图根据特定标准确定的。目前诊断 LVH 的心电图标准性能较低。Sokolow-Lyon、Peguero-Lo Presti、Cornell 电压和 Cornell Product 的曲线下面积分别为 0.61、0.65、0.72 和 0.71:在非洲高血压患者中,诊断 LVH 的最准确标准是康奈尔电压。
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来源期刊
Journal of electrocardiology
Journal of electrocardiology 医学-心血管系统
CiteScore
2.70
自引率
7.70%
发文量
152
审稿时长
38 days
期刊介绍: The Journal of Electrocardiology is devoted exclusively to clinical and experimental studies of the electrical activities of the heart. It seeks to contribute significantly to the accuracy of diagnosis and prognosis and the effective treatment, prevention, or delay of heart disease. Editorial contents include electrocardiography, vectorcardiography, arrhythmias, membrane action potential, cardiac pacing, monitoring defibrillation, instrumentation, drug effects, and computer applications.
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