Key result
Electrocardiographic voltage criteria for right ventricular hypertrophy had very low correlation (r < 0.1) and low sensitivity (0-16.7%) for detecting echocardiographic right ventricular hypertrophy.
Why the study?
Do electrocardiographic criteria for right ventricular hypertrophy accurately predict echocardiographic right ventricular hypertrophy in a military cohort?
Cross-Sectional (n=264)
No
Do electrocardiographic criteria for right ventricular hypertrophy accurately predict echocardiographic right ventricular hypertrophy in a military cohort?
Electrocardiographic voltage criteria for right ventricular hypertrophy have low correlation and sensitivity for echocardiographic RVH, supporting guidelines that ECG criteria violations alone should not prompt routine echocardiographic investigation.
Answers are grounded in this paper and cite their sources.
Supports deferring echocardiography for isolated ECG RVH criteria; leaves open validation in higher-risk or non-military cohorts.
We compared electrocardiographic and echocardiographic right ventricular hypertrophy (RVH) in 264 military members in Taiwan. The correlations of the Myers et al. and Sokolow-Lyon criteria with RV wall thickness were low (r<0.1). Our data supported the American guidance that RVH voltage criteria violations should not receive further echocardiographic investigation.
No takes yet. Share an insight, caveat, or question.
Meng et al. (2017) conducted a cross-sectional in Right ventricular hypertrophy (n=264). Electrocardiographic criteria for right ventricular hypertrophy vs. Echocardiographic right ventricular hypertrophy was evaluated on Correlation of Myers et al. and Sokolow-Lyon ECG criteria with echocardiographic anterior right ventricular wall thickness (r < 0.1, p=>0.05). Electrocardiographic voltage criteria for right ventricular hypertrophy had very low correlation (r < 0.1) and low sensitivity (0-16.7%) for detecting echocardiographic right ventricular hypertrophy.
Synapse has enriched 10 related papers. Consider them for comparative context: