Publication:
Diagnostic Accuracy of the Electrocardiography Criteria for Left Ventricular Hypertrophy (Cornell Voltage Criteria, Sokolow-Lyon Index, Romhilt-Estes, and Peguero-Lo Presti Criteria) Compared to Transthoracic Echocardiography

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dc.contributor.authorDENİZBAŞI ALTINOK, ARZU
dc.contributor.authorsBayram, Nurseli; Akoglu, Haldun; Sanri, Erkman; Karacabey, Sinan; Efeoglu, Melis; Onur, Ozge; Denizbasi, Arzu
dc.date.accessioned2022-03-14T09:52:05Z
dc.date.available2022-03-14T09:52:05Z
dc.date.issued2021-03-14
dc.description.abstractObjective/Aim: We aimed to evaluate the diagnostic utility of the widely used left ventricular hypertrophy (LVH) electrocardiography (ECG) criteria (Cornell Voltage Criteria [CVC], Sokolow-Lyon Index [SLI], Romhilt-Estes [REC], and Peguero-Lo Presti [PLP] Criteria) compared with the left ventricular mass measured by echocardiography. Methods: In this prospective diagnostic accuracy study, we screened all consecutive adults (18 to 65 years) who presented to our academic emergency department (ED) with increased blood pressure (>= 130/85 mmHg) between January 2016 and January 2017, and we enrolled a convenience sample of 165 patients in our study. The attending emergency physician managed all patients as per their primary complaint. The consulting cardiologist performed a transthoracic echocardiogram (TTE) of the patient and calculated the left ventricular mass (LVM) according to the American Society of Echocardiography (ASE) formula. After completing the patient recruitment phase, researchers evaluated all ECGs and calculated scores for SLI, CVC, REC, and PLP. We used contingency tables to calculate the diagnostic utility metrics of all ECG criteria. Results: The prevalence of LVH by TTE was 31.5%. CVC, SLI, REC, and PLP criteria correctly identified (true positive rate) abnormal LVM in only 3.9%, 1.9%, 9.6%, and 19.2% of the patients, respectively. CVC, SLI, REC score and PLP criteria performed poorly with extremely low sensitivities (3.9%, 1.9%, 10%, 19.2%) and poor accuracies (67.3%, 64.9%, 57.7%, 69.7%). Conclusion: ECG voltage criteria's clinical utility in estimating LVM and LVH is low, and it should not be used for this purpose.
dc.identifier.doi10.7759/cureus.13883
dc.identifier.eissn2168-8184
dc.identifier.pubmed33868847
dc.identifier.urihttps://hdl.handle.net/11424/243424
dc.identifier.wosWOS:000628647100010
dc.language.isoeng
dc.publisherCUREUS INC
dc.relation.ispartofCUREUS
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectleft ventricular hypertrophy
dc.subjectelectrocardiography
dc.subjectechocardiography
dc.subjectsokolow-lyon index
dc.subjectcornell voltage index
dc.subjectromhilt-estes score system
dc.subjectpeguero-lo presti criteria
dc.subjectMORTALITY
dc.subjectHYPERTENSION
dc.subjectPOPULATION
dc.subjectSCORE
dc.subjectRISK
dc.subjectMASS
dc.titleDiagnostic Accuracy of the Electrocardiography Criteria for Left Ventricular Hypertrophy (Cornell Voltage Criteria, Sokolow-Lyon Index, Romhilt-Estes, and Peguero-Lo Presti Criteria) Compared to Transthoracic Echocardiography
dc.typearticle
dspace.entity.typePublication
local.avesis.ida8d0e439-43ba-4d4d-b914-bd136b9b5b76
local.import.packageSS16
local.indexed.atWOS
local.indexed.atPUBMED
local.journal.articlenumbere13883
local.journal.numberofpages7
oaire.citation.issue3
oaire.citation.titleCUREUS
oaire.citation.volume13
relation.isAuthorOfPublication85d7879a-b827-49ad-8b5f-77e6661077c7
relation.isAuthorOfPublication.latestForDiscovery85d7879a-b827-49ad-8b5f-77e6661077c7

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