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Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults?
Background: Left ventricular hypertrophy (LVH) detection is vital to the risk stratification of adults at risk of adverse cardiovascular events such as coronary heart disease, cerebrovascular disease, and aortic aneurysms. Electrocardiogram (ECG), a non-invasive, cost-effective instrument has been w...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337698/ https://www.ncbi.nlm.nih.gov/pubmed/37448432 http://dx.doi.org/10.7759/cureus.40306 |
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author | Kothendaraman, Bhuvaneswari Serane V, Tiroumourougane Balasubramanian, Kavitha |
author_facet | Kothendaraman, Bhuvaneswari Serane V, Tiroumourougane Balasubramanian, Kavitha |
author_sort | Kothendaraman, Bhuvaneswari |
collection | PubMed |
description | Background: Left ventricular hypertrophy (LVH) detection is vital to the risk stratification of adults at risk of adverse cardiovascular events such as coronary heart disease, cerebrovascular disease, and aortic aneurysms. Electrocardiogram (ECG), a non-invasive, cost-effective instrument has been widely used as a screening tool for LVH. The objective of this study was to determine the diagnostic accuracy of seven frequently used ECG criteria in high-risk Indian adults in comparison with echocardiography. Methods: ECG and transthoracic echocardiography were performed in adults older than 18 years with at least one cardiac risk factor (chronic hypertension, obesity, ischemic heart disease, and type 2 diabetes mellitus). Precision and accuracy were calculated for the various ECG criteria against LVH based on left ventricular mass index (LVMI) and cardiac remodeling by echocardiography. Results: A total of 220 participants were enrolled. Of these, 96 had LVH by echocardiography. There was marked variability in LVH detection by the different ECG criteria: 28 by Sokolow-Lyon criteria, 26 by Cornell criteria, 24 by Lewis criteria, 46 by Scott criteria, eight by Romhilt-Estes criteria, six by Modified Cornell criteria, and only two by Roberts criteria. Agreement statistics between ECG criteria and LVMI showed that none of them had a good agreement for LVH detection. Conclusion: None of the ECG criteria were sensitive enough to rule out ventricular hypertrophy. In the context of cardiac remodeling, the ECG criteria had high sensitivity but low specificity and, hence, limited clinical relevance. |
format | Online Article Text |
id | pubmed-10337698 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-103376982023-07-13 Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults? Kothendaraman, Bhuvaneswari Serane V, Tiroumourougane Balasubramanian, Kavitha Cureus Cardiology Background: Left ventricular hypertrophy (LVH) detection is vital to the risk stratification of adults at risk of adverse cardiovascular events such as coronary heart disease, cerebrovascular disease, and aortic aneurysms. Electrocardiogram (ECG), a non-invasive, cost-effective instrument has been widely used as a screening tool for LVH. The objective of this study was to determine the diagnostic accuracy of seven frequently used ECG criteria in high-risk Indian adults in comparison with echocardiography. Methods: ECG and transthoracic echocardiography were performed in adults older than 18 years with at least one cardiac risk factor (chronic hypertension, obesity, ischemic heart disease, and type 2 diabetes mellitus). Precision and accuracy were calculated for the various ECG criteria against LVH based on left ventricular mass index (LVMI) and cardiac remodeling by echocardiography. Results: A total of 220 participants were enrolled. Of these, 96 had LVH by echocardiography. There was marked variability in LVH detection by the different ECG criteria: 28 by Sokolow-Lyon criteria, 26 by Cornell criteria, 24 by Lewis criteria, 46 by Scott criteria, eight by Romhilt-Estes criteria, six by Modified Cornell criteria, and only two by Roberts criteria. Agreement statistics between ECG criteria and LVMI showed that none of them had a good agreement for LVH detection. Conclusion: None of the ECG criteria were sensitive enough to rule out ventricular hypertrophy. In the context of cardiac remodeling, the ECG criteria had high sensitivity but low specificity and, hence, limited clinical relevance. Cureus 2023-06-12 /pmc/articles/PMC10337698/ /pubmed/37448432 http://dx.doi.org/10.7759/cureus.40306 Text en Copyright © 2023, Kothendaraman et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Kothendaraman, Bhuvaneswari Serane V, Tiroumourougane Balasubramanian, Kavitha Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults? |
title | Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults? |
title_full | Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults? |
title_fullStr | Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults? |
title_full_unstemmed | Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults? |
title_short | Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults? |
title_sort | are electrocardiographic criteria reliable for left ventricular hypertrophy detection in indian adults? |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337698/ https://www.ncbi.nlm.nih.gov/pubmed/37448432 http://dx.doi.org/10.7759/cureus.40306 |
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