Why the study?
Does electrocardiography accurately detect left ventricular hypertrophy compared to echocardiography in pediatric patients with rheumatic heart disease?
Population
84 unselected pediatric patients with rheumatic heart disease, aged 6 to 19 years, 47 male and 37 female.
Comparison
Electrocardiogram for detection of left… vs Echocardiography for detection of LVH
Design
Cross-sectional
Key result
Electrocardiographic criteria for left ventricular hypertrophy showed moderate diagnostic utility in pediatric rheumatic heart disease, with a sensitivity of 71.4% (95% CI 57.7-85.1%) for height-indexed LVH.
Authors
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ECG criteria warrant caution for LVH detection in pediatric RHD; leaves open validation and refinement in prospective cohorts.
Cross-Sectional (n=84)
Does electrocardiography accurately detect left ventricular hypertrophy compared to echocardiography in pediatric patients with rheumatic heart disease?
Effect estimate: Sensitivity 71.4% (95% CI 57.7-85.1)
Electrocardiography serves as a moderate diagnostic modality for detecting left ventricular hypertrophy in pediatric patients with rheumatic heart disease, with sensitivity increasing in older children.
Sastroasmoro et al. (2019) conducted a cross-sectional in Rheumatic heart disease (n=84). Electrocardiographic criteria for left ventricular hypertrophy vs. Echocardiographically determined left ventricular hypertrophy was evaluated on Sensitivity of height-indexed electrocardiographic diagnosis of left ventricular hypertrophy (Sensitivity 71.4%, 95% CI 57.7-85.1). Electrocardiographic criteria for left ventricular hypertrophy showed moderate diagnostic utility in pediatric rheumatic heart disease, with a sensitivity of 71.4% (95% CI 57.7-85.1%) for height-indexed LVH.
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