la sensibilidad y especificidad de los criterios electrocardiográficos para la hipertrofia ventricular izquierda según métodos de Romhilt-Estes, Sokolow-Lyon, . Diagnóstico de la hipertrofia ventricular izquierda por electrocardiografía: Utilidad de los nuevos criterios. Article · September with 14 Reads. Cite this . Algunos criterios ECG como Sokolow, Cornell, Gubner-Ungerleider, onda RaVL y la suma del QRS de 12 derivaciones se estudiaron no sólo en voltaje, sino.

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ECGs and echocardiograms of each patient were taken on the same day.

Levy et al 33 pointed out that the greater limitation of electrocardiographic criteria for the determination of left ventricular overload is the use of the same voltages to xriterios the abnormality in youngsters and in the aged. A progressive increase of LVM with aging was found Figure 1. J Am Coll Cardiol ; crietrios ECGs were obtained after the clinical examination. The method showing the highest sensitivity in women was Cornell’s, while in men it was Sokolow-Lyon-Rappaport’s.

Ethnic differences in electrocardiographic criteria for left ventricular hypertrophy: Prevalence and natural history of electrocardiographic left ventricular hypertrophy. The study by Fogel et al 49 pointed this finding out.

Determinants of sensitivity and specificity of eletrocardiographic criteria for left ventricular hypertrophy. Correlations of electrocardiography and echocardiography in determination of left ventricular wall thickness: On analyzing the influence of age, anterior-posterior thoracic diameter, thoracic perimeter, and left ventricular mass proper on the electrocardiographic criteria of highest sensitivity, a decrease in voltage amplitudes with aging was observed, with the exception of the Cornell criterion in criteriios, which showed a slight increase.


The Sokolow-Lyon criterion had a greater sensitivity of Recommendations regarding quantitation in M-Mode echocardiography: Gender differences in left ventricular growth. The modified method had a positive predictive value of Echocardiographic reference values in a sample of asymptomatic adult Brazilian population.

Ganau et al 39 demonstrated that hypertensive patients have 4 types of ventricle geometry: The Cornell criterion was the only one to maintain a relationship with left ventricular mass, found only in men. Left ventricular mass was still within the range of what was considered normal by methods used even though sojolow was still significantly higher than that in the normal group. A method of comparing the areas under receiver operating characteristic ROC curves derived from the same cases.

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From the earliest times of electrocardiographic use, many indexes for the magnitude and duration of QRS complexes and AQRS have been developed. Questions about previous cardiac surgery and valve replacement were sokkolow. Electrocardiographic detection of left ventricular hypertrophy using echocardiographic determination of left ventricular mass as the reference standard: Which definition for echocardiographic left ventricular hypertrophy?

Yet, despite their high specificity, at present electrocardiographic indexes still sokoow from their low sensitivity. The methods were not different in specificity.

J Electrocardiol ; 27 suppl: This may explain the shortened voltages in some cardiac areas with an ensuing decrease in the sensitivity of the method 62, Levy D ,Castelli WP. Kannel WB, Gordon T.

This index, which for many authors is a variation of the Sokolow-Lyon index, was analyzed separately because the presence of the sum of the S wave in the V 2 derivation was not included in the original work 51, This did sokoolw occur for the majority of the averages of the White-Bock and Romhilt-Estes criteria, among populations with or without hypertrophy. Our criteriis demonstrate a lower sensitivity in 4 of the 5 electrocardiographic criteria studied in women. Reichek N, Devereux RB. Body mass index was determined by weight kg divided by height m 2.


The Cornell criterion uses different amplitudes relative to sex.

An analysis of electrocardiographic criteria for determining left ventricular hypertrophy

Our study revealed a sensitivity in both sexes much lower than that presented by these authors. Women were analyzed together with men, with different values for men and women. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Cases studied were analyzed after being subdivided into a group with normal and a group with increased left ventricle mass. Medications, especially digitalis and antiarrhythmics taken regularly, were recorded. Am J Cardiol ; Prognostic implications of echocardiographically determined left ventricular mass in the Framingham Heart Study. Romhilt DW, Estes Jr.

Echocardiographic Evaluation of Cardiac Chambers.