Key result
All four ECG LVH criteria link to increased CV events, especially the Cornell strain index.
Why the study?
Are ECG left ventricular hypertrophy criteria associated with an increased risk of cardiovascular events and mortality in patients with vascular disease?
Are ECG left ventricular hypertrophy criteria associated with an increased risk of cardiovascular events and mortality in patients with vascular disease?
The Cornell/strain index is highlighted as the most clinically relevant ECG-LVH criterion for predicting cardiovascular risk in patients with vascular disease due to its high prevalence and strong association with adverse events.
Answers are grounded in this paper and cite their sources.
ECG-LVH criteria may aid risk stratification in vascular disease; supports consensus but leaves optimal criterion selection open.
All four ECG-LVH criteria are associated with an increased risk of cardiovascular events. As Cornell/strain index is both highly prevalent and carries a high cardiovascular risk, this is likely the most relevant ECG-LVH criterion for clinical practice.
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Kleef et al. (2018) studied this question. All four ECG left ventricular hypertrophy criteria are associated with an increased risk of cardiovascular events, with the Cornell/strain index being particularly significant.
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