What does this research mean for the field?

The presence or development of left ventricular hypertrophy (LVH) on an electrocardiogram is an independent predictor of increased mortality and cardiovascular events in very old adults, whereas the regression of LVH is associated with an improved cardiovascular risk profile. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 1, 1996Journal of the American Geriatrics Society

Left Ventricular Hypertrophy on Electrocardiogram: Prognostic Implications from a 10‐Year Cohort Study of Older Subjects: A Report from the Bronx Longitudinal Aging Study

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Why the study?

Does left ventricular hypertrophy on ECG predict mortality and cardiovascular events in ambulatory older adults?

Population

459 ambulatory older men and women from a community-based cohort.

Comparison

Left ventricular hypertrophy on… vs Subjects without LVH on ECG

Design

Cohort

Follow-up

10 years

Authors

SKShoshanah KahnNorthwell Health WFWilliam H. FrishmanGeneral Cardiology SWS. L. WeissmanUniversity of Pennsylvania

Discussion

Member takes

Implication

ECG LVH flags higher-risk older adults for monitoring; observational data leaves open whether regression improves outcomes.

Structured PICO

Does left ventricular hypertrophy on ECG predict mortality and cardiovascular events in ambulatory older adults?

Population

459 ambulatory older men and women (aged 75-85, mean age 79 years) from a community-based cohort (Bronx Longitudinal Aging Study).

Intervention

Left ventricular hypertrophy (LVH) on electrocardiogram (ECG) at baseline or newly developed

Comparator

Subjects without LVH on ECG

Outcome

Incidence of total mortality, myocardial infarction (fatal and non-fatal), cardiovascular mortality, cardiovascular disease (fatal and non-fatal), stroke (fatal and non-fatal), all-cause dementia, and multi-infarct dementiahard clinical

Left ventricular hypertrophy on ECG is a strong independent predictor of mortality and cardiovascular events in older adults, and its regression may improve cardiovascular risk.

Cite This Study

Kahn et al. (1996) studied this question.

synapsesocial.com/papers/6a1bf488b33628da419d0aa9 https://doi.org/10.1111/j.1532-5415.1996.tb01437.x

Topics

Women and heart disease

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Left Ventricular Hypertrophy on Electrocardiogram: Prognostic Implications from a 10‐Year Cohort Study of Older Subjects: A Report from the Bronx Longitudinal Aging Study

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Left Ventricular Hypertrophy on Electrocardiogram: Prognostic Implications from a 10‐Year Cohort Study of Older Subjects: A Report from the Bronx Longitudinal Aging Study

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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