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Titolo:
RELATION BETWEEN ELECTROCARDIOGRAPHY AND ECHOCARDIOGRAPHY FOR LEFT-VENTRICULAR MASS IN MILD SYSTEMIC HYPERTENSION (RESULTS TRAM TREATMENT AT MILD HYPERTENSION STUDY)
Autore:
CROW RS; PRINEAS RJ; RAUTAHARJU P; HANNAN P; LIEBSON PR;
Indirizzi:
UNIV MINNESOTA,SCH PUBL HLTH,DIV EPIDEMIOL,1300 S 2ND ST,SUITE 300 MINNEAPOLIS MN 55454
Titolo Testata:
The American journal of cardiology
fascicolo: 17, volume: 75, anno: 1995,
pagine: 1233 - 1238
SICI:
0002-9149(1995)75:17<1233:RBEAEF>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEART-DISEASE; HYPERTROPHY; CRITERIA; VALIDATION; DIAGNOSIS; DETERMINANTS; PREVALENCE; STANDARD; TRIAL; TOMHS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
33
Recensione:
Indirizzi per estratti:
Citazione:
R.S. Crow et al., "RELATION BETWEEN ELECTROCARDIOGRAPHY AND ECHOCARDIOGRAPHY FOR LEFT-VENTRICULAR MASS IN MILD SYSTEMIC HYPERTENSION (RESULTS TRAM TREATMENT AT MILD HYPERTENSION STUDY)", The American journal of cardiology, 75(17), 1995, pp. 1233-1238

Abstract

Clinical recognition of hypertensive cardiac involvement depends primarily on use of noninvasive methods. The performance of 8 (ECG) criteria sets were compared with an standard in the Treatment of Mild Hypertension Study. Electrocardiograms were computer processed to define thefollowing ECG criteria sets: (1) Casale/Devereux, (2) Cornell product, (3) Cornell voltage, (4) 12-lead voltage product, (5) sum of 12-leadvoltage, (6) Rautaharju, (7) Sokolow-Lyon, and (8) Romhilt-Estes. Echocardiographic left ventricular (LV) mass index was calculated using the Penn convention on a biracial population 834 men and women. Correlations between ECG and echocardiographic LV mass index were modest (<0.40). ECG-LV hypertrophy sensitivity at 95% specificity was <34%. The Casale/Deverevx ECG criteria showed the highest average sensitivity (17%) at 95% specificity far all race-sex groups. Whites had significantly higher correlation values than blacks. ECG correlations with LV massindex were consistently improved by including systolic blood pressureand body mass index. ECG criteria sets appear to be optimized for white men. The study findings confirm the poor ECG sensitivity and correlation with echocardiographic LV mass and suggest: (1) further refinement of ECG criteria alone in white men is unlikely to improve its relationship with LV mass; and (2) combining the electrocardiogram with other non-ECG variables or noninvasive measurements offers the best strategy for improving ECG sensitivity and its prognostic valve.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 13:35:32