Reliability of electrocardiographic surrogates of left ventricular mass in patients with chronic kidney disease
Autor: | Juliano C. Picotti, Antonio C. Cordeiro, Bengt Lindholm, Fernanda C. Amparo, Juan Jesus Carrero, Marcus R.O. Santana, Márcio Gonçalves de Sousa, Waldyr Grimaldi, Celso Amodeo, Gabriel J. Nunes |
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Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty Pathology Physiology Population Left ventricular hypertrophy Left ventricular mass Electrocardiography Internal medicine Internal Medicine medicine Humans In patient cardiovascular diseases Renal Insufficiency Chronic education Aged education.field_of_study medicine.diagnostic_test business.industry Reproducibility of Results Middle Aged medicine.disease Uremia Cross-Sectional Studies Echocardiography Albuminuria Cardiology Female Hypertrophy Left Ventricular medicine.symptom Cardiology and Cardiovascular Medicine business Kidney disease |
Zdroj: | Journal of Hypertension. 32:439-445 |
ISSN: | 0263-6352 |
Popis: | Objective: Left ventricular hypertrophy (LVH) is a prevalent condition in chronic kidney disease (CKD) very often underdiagnosed and misdiagnosed. Electrocardiography (ECG) is an easily accessible LVH diagnostic tool. We evaluated the usefulness of commonly applied ECG criteria for LVH diagnosis in CKD patients. Methods: Cross-sectional evaluation of 253 nondialysisdependent CKD stages 3–5 patients (61 [53–67] years; 65% men). Left ventricular mass (LVM) was assessed by echocardiography (ECHO). ECG was performed to assess Cornell voltage and Sokolow–Lyon voltage and their products (Cornell product and Sokolow–Lyon product, respectively). Results: The prevalence of LVH ranged from 72 to 89% depending on ECHO criteria used. Cornell product showed the best correlation with ECHO-estimated LVM (r ¼0.41; P |
Databáze: | OpenAIRE |
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