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
Rok vydání: 2014
Předmět:
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