Assessment of electrocardiographic criteria for the diagnosis of left ventricular hypertrophy in the octogenarian population.
Int J Clin Pract
; 75(1): e13643, 2021 Jan.
Article
em En
| MEDLINE
| ID: mdl-32748475
ABSTRACT
BACKGROUND:
Although there are several electrocardiographic (ECG) diagnostic criteria for identifying left ventricular hypertrophy (LVH), the sensitivity of these criteria remains low. Recently, the Peguero-Lo Presti criterion provides a higher sensitivity than the current criteria. We aimed to test this ECG criterion prospectively, in the octogenarian population.METHODS:
We prospectively enrolled outpatients over 80 years of age who were referred to our echocardiography laboratory. The Peguero-Lo Presti criterion was assessed along with other established ECG criteria. Left ventricular mass was calculated by echocardiography. Performance of ECG indices in diagnosing LVH were evaluated.RESULTS:
Overall, 119 patients were included in the study. The sensitivity and specificity of the Peguero-Lo Presti criterion were 62.5% and 87.3%, respectively. In addition, the highest sensitivity belonged to the Peguero-Lo Presti criterion, and the highest AUC value was also seen in this criterion (AUC 0.787, 95% CI, 0.698-0.876, P < .001).CONCLUSION:
The Peguero-Lo Presti criteria showed the highest sensitivity for LVH detection, and it outperformed the other validated criteria in this octogenarian population. The Peguero-Lo Presti criteria seemed to be more effective for diagnosing LVH in this setting.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hipertrofia Ventricular Esquerda
/
Eletrocardiografia
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Aged
/
Aged80
/
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article