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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Prognostic implications of echocardiographically determined left ventricular mass in the Framingham Heart Study. Women were analyzed together with men, with different values for men and women.

Several studies are trying to improve the sensitivity of known methods by correcting for different variables, including the product of the voltage direction of the QRS complex 2.

New gender-specific partition values for ECG criteria of left ventricular hypertrophy. The meaning and use of the area under a receiver operating characteristic ROC curve. Fogel et al 49 observed in children and adults a higher sensitivity in the electrocardiogram of the Sokolow-Lyon criterion in patients with aortic stenosis compared with those having intraventricular septal defect.

Rev Bras Hipert ; 4: The low sensitivity of the White-Bock criterion can be explained by the presence in many patients of an S wave in the DIII derivation, of little depth, often leaving the values of this criterion negative.

Deeper subsequent studies aimed at this finding using a larger cohort should be performed to better elucidate the question, criteeios this was not our aim.

Left ventricular mass was still within the range criteriios what was considered normal by methods used even though it was still significantly higher than that in the normal group. Am Heart J ; The Cornell criterion in women had the highest sensitivity, Prognostic implications of echocardiographically determined left ventricular mass in the Framingham Heart Study.


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Eletrocardiographic detection of left ventricular hypertrophy development and prospective validation of improved criteria. Casale et al 53 analyzed the Cornell criterion developed by the authors in patients, men and women, in comparison with pre-existing criteria and compared electrocardiographic criteria with findings at necropsy. J Am Coll Cardiol ; 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, Pathological hypertrophy and cardiac interstitium.

N Engl J Med. This was exactly the opposite of what had been proposed by Casale et al 10the authors who created the criterion. Ganau et al 39 demonstrated that hypertensive patients have 4 types of ventricle geometry: Results showed that although an increase occurred in mass in contrast with what was expected, a progressive decrease in the voltages occurred in the Sokolow-Lyon-Rappaport, Sokolow-Lyon, and Cornell criteria, both in women and in men.

An analysis of electrocardiographic criteria for determining left ventricular hypertrophy

Heart rate variability in left ventricular hypertrophy. Curiously, these were the methods that showed least sensitivity, both in men and in women. Value of echocardiographic measurement of left ventricular mass in predicting cardiovascular morbid events in hypertensive men.

Body mass index was determined by weight kg divided by height m sokolwo.

Specificity was reduced to The analysis of the correlation of the Sokolow-Lyon, Sokolow-Lyon-Rappaport, and Cornell criteria in individuals with increased left ventricular mass demonstrated that in their majority a greater adjustment in these criteria occurs in the detection of left ventricular overload in individuals with Eokolow with increased diastolic dimensions in the left ventricle, compared with those with only the hypertrophy.


Reichek N, Sokooow RB. Electrocardiographic evidence of left ventricular hypertrophy is one of the most widely used markers of cardiovascular morbidity and mortality 3,4.

Left ventricular hypertrophy in left bundle block. Improved eletrocardiographic diagnosis of left ventricular hypertrophy. The Cornell criterion uses different amplitudes relative to sex.

Criterioe determination of left ventricular mass in man – anatomic validation of the method. Romhilt DW, Estes Jr. Average values for left ventricular mass of normal men and women found in the present study were similar to those reported in the literature 15,16,18,19,22, 26,27, The present study attempts to correlate findings obtained with 5 different electrocardiographic criteria with data on left ventricular mass obtained by echocardiography.

A marked decrease in the amplitudes of the 3 voltages is observed in women with an increase in the diameter, a less marked decrease critegios the voltage of the Sokolow-Lyon-Rappaport criterion occurring in men, and practically no alterations in the Sokolow-Lyon and Cornell criteria in men.

Women with LVH averaged The results of our study show that the Cornell sensitivity for women of Dubois D, Dubois EF. It has become a clinical priority to precociously detect left ventricular hypertrophy by effective, low-cost screening, applicable to the population in general J Am Coll Cardiol ; 6: Validity of electrocardiographic criteria for left ventricular hypertrophy in children with pressure – or volume – loaded ventricles: Electrocardiographic detection of left ventricular hypertrophy using echocardiographic so,olow of left ventricular mass as the reference standard.