Electrocardiographic prediction of left ventricular geometric patterns in patients with essential hypertension

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dc.authoridAltun, Armagan/0000-0002-3233-8263
dc.authorwosidAKTOZ, MERYEM/M-9023-2018
dc.authorwosidAltun, Armagan/ABB-5844-2020
dc.contributor.authorAktoz, Meryem
dc.contributor.authorErdogan, Okan
dc.contributor.authorAltun, Armagan
dc.date.accessioned2024-06-12T11:07:37Z
dc.date.available2024-06-12T11:07:37Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: The present study sought to determine the diagnostic value of electrocardiographic voltage criteria in predicting geometry patterns in patients with essential hypertension. Methods: Patients with essential hypertension (n=125) according to left ventricular mass index and relative wall thickness as determined by echocardiography were assigned in the following groups: normal geometry (N, n=50), concentric remodeling (CR, n=12), concentric hypertrophy (CH, n=28) and eccentric hypertrophy (EH, n=35). Each patient underwent 12-lead ECG followed by determination of conventional voltage criteria as well as peak to peak QRS lengths in each lead. Results: Voltage criteria such as Sokolow-Lyon, Cornell, Cornell product > 2440, DIR+D3S > 25 mm, and AVL R > 11 mm could not significantly predict and discriminate geometric patterns of LVH. However, they all were very specific (range 97-100%) and showed very high positive predictive values (range 94-100%) for detecting abnormal geometry. DI peak > 12 mm had a sensitivity 61%, specificity 67%, accuracy 63%, positive predictive value 81%, and negative predictive value 42% in predicting to differentiate CH from CR. Sum of the calculated values from the peak of the R to the nadir of the S wave in all limb leads > 60 mm had sensitivity 68%, specificity 75%, accuracy 70%, positive predictive value 86% and negative predictive value 50% in predicting to differentiate CH from CR. Conclusions: Conventional ECG voltage criteria could not significantly discriminate specific geometry patterns observed in patients with essential hypertension. (c) 2006 Elsevier Ireland Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.ijcard.2006.10.010
dc.identifier.endpage350en_US
dc.identifier.issn0167-5273
dc.identifier.issn1874-1754
dc.identifier.issue3en_US
dc.identifier.pmid17169449en_US
dc.identifier.scopus2-s2.0-34447512512en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage344en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijcard.2006.10.010
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22096
dc.identifier.volume120en_US
dc.identifier.wosWOS:000251062200010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Ireland Ltden_US
dc.relation.ispartofInternational Journal Of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLeft Ventricular Hypertrophyen_US
dc.subjectHypertensionen_US
dc.subjectGeometryen_US
dc.subjectElectrocardiographyen_US
dc.subjectEchocardiographyen_US
dc.subjectCoronary-Artery-Diseaseen_US
dc.subjectHypertrophyen_US
dc.subjectVoltageen_US
dc.subjectMassen_US
dc.subjectEchocardiographyen_US
dc.subjectAccuracyen_US
dc.subjectImpacten_US
dc.subjectLifeen_US
dc.titleElectrocardiographic prediction of left ventricular geometric patterns in patients with essential hypertensionen_US
dc.typeArticleen_US

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