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January 1, 2017World Journal of CardiologyOpen Access

Validity of electrocardiographic criteria for increased left ventricular mass in young patients in the general population

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Why the study?

Do common ECG voltage criteria accurately detect left ventricular hypertrophy in young adults compared to echocardiography?

Population

100 young adults, mean age 28 ± 6.8 years, 52% male, 96% Hispanic or African-American, with 50% prevalence…

Comparison

Electrocardiographic voltage criteria vs Echocardiogram (gold standard)

Design

Case-control

Authors

ESEduard SklyarPGPaul GinelliABAaron Barton

Discussion

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Overview

ECG criteria may miss LVH in young adults; case-control data leave open prospective validation of refined thresholds.

Structured PICO

Do common ECG voltage criteria accurately detect left ventricular hypertrophy in young adults compared to echocardiography?

P
Population
100 young adults (18 to 39 years old), mean age 28 ± 6.8 years, 52% male, 96% Hispanic or African-American, with 50% prevalence of left ventricular hypertrophy (LVH).
I
Intervention
Electrocardiographic (ECG) voltage criteria (Sokolow-Lyon, Cornell, R in aVL)
C
Comparator
Echocardiogram (gold standard)
O
Outcome
Sensitivity and specificity of ECG criteria for detecting LVHsurrogate

Common ECG voltage criteria have low sensitivity for detecting left ventricular hypertrophy in young adults, precluding their use as effective screening tests.

Cite This Study

Sklyar et al. (2017) studied this question.

synapsesocial.com/papers/6a0e9cd89504565763479d03https://doi.org/10.4330/wjc.v9.i3.248
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