Electrocardiographic detection of left ventricular hypertrophy: Time to forget the Sokolow-Lyon index?

Courand, Pierre‐Yves; Lantelme, Pierre; Gosse, Philippe

doi:10.1016/j.acvd.2015.03.003

Cited by 8 publications

(5 citation statements)

References 18 publications

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“…In addition, a recent investigation by Antikainen et al27 reported that there is no significant increase in the risk of any cardiovascular events associated with LVH diagnosed by SL index. Moreover, Wong et al28 and Courand et al29 once proposed to give up SL criterion as well.…”

Section: Discussionmentioning

confidence: 99%

<p>Consistency of left ventricular hypertrophy diagnosed by electrocardiography and echocardiography: the Northern Shanghai Study</p>

Zhang

Zhou

Bai

et al. 2019

CIA

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BackgroundLeft ventricular hypertrophy (LVH) is one of the preclinical manifestations of hypertensive target organ damage (TOD). However, it remains unclear which electrocardiographic criterion perform better in diagnosing LVH.PurposeTo investigate the consistency of LVH diagnosed by electrocardiography (ECG) and echocardiography (ECHO). Taking LVH by ECHO as reference, to compare three different ECG criteria (Sokolow-Lyon, Cornell and Cornell Product criteria) and find the best ECG indicator for identifying LVH in community-based elderly Chinese.Patients and methodsEchocardiography and electrocardiography were applied to define LVH in 1789 elderly Chinese aged >65 years old in communities located at the northern Shanghai. Echocardiographic LVH (ECHO-LVH) was defined by left ventricular mass indexed for Body Surface Area (LVM/BSA) or for height2.7 (LVM/height2.7). Electrocardiographic LVH (ECG-LVH) was defined by Sokolow-Lyon (SL), Cornell and Cornell Product (CP) criteria. ECHO-LVH was defined by LVM/BSA≥125 g/m2 in male or ≥110 g/m2 in female (LVH1); LVM/BSA≥115 g/m2 in male, or ≥95 g/m2 in female (LVH2) and LVM/height2.7 ≥51 g/m2.7 in male or ≥47 g/m2.7 in female (LVH3).ResultsAs compared with SL and Cornell criteria, CP had the greatest correlation coefficient in the association with echocardiography-defined LVH, except for LVM/BSA in men. Of note, CP criterion had the greatest area under curve of ROC than Cornell criterion and the SL index, not only in total population but also in subgroups classified by blood pressure.ConclusionIn ECG-LVH criteria, CP criterion complies better than SL index and Cornell criterion in assessing cardiac hypertrophy.

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Section: Discussionmentioning

confidence: 99%

<p>Consistency of left ventricular hypertrophy diagnosed by electrocardiography and echocardiography: the Northern Shanghai Study</p>

Zhang

Zhou

Bai

et al. 2019

CIA

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“…LV hypertrophy was defined using the Sokolow Lyon-criteria. 16 17 Fasting blood sugar, lipid profile including high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, total cholesterol, and triglycerides were obtained using a rapid point of care, strip-based test LipidPro by Infopia Ltd, Korea.…”

Section: Methodsmentioning

confidence: 99%

Right ventricular function in patients with heart failure in a cardiac clinic in Southwest Nigeria

Akintunde

2017

Niger Med J

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Background:Right ventricular (RV) function is an important entity in heart failure. Patients with RV dysfunction (RVD) have poorer prognosis and exercise tolerance than those with preserved RV systolic function. Tricuspid annular plane systolic excursion (TAPSE) has been proposed as a simple and reproducible parameter for the qualitative assessment of RV systolic function/ejection fraction (EF). This study aims at describing RV function/RVD among heart failure patients in a specialized cardiac facility in Southwestern Nigeria.Materials and Methods:One hundred and thirty-two patients with clinical diagnosis of heart failure were recruited into the study between June 2011 and December 2014. Baseline data, laboratory investigations, electrocardiography, and echocardiography were taken for the participants. RV function was assessed with TAPSE. Statistical analysis was done using Statistical Package for Social Sciences 16.0 (Chicago Ill. USA). P < 0.05 was considered statistically significant.Results:The mean age of study participants was 62.1 ± 14.2 years. RV systolic dysfunction (TAPSE <20 mm) was found in 86 (65.2%) of all patients while moderate-to-severe RVD (TAPSE <15 mm) was found in 26 (19.7%) patients. Those with RVD are more likely to be older and had a larger left ventricular internal diastolic dimension than those without RVD. Systolic blood pressure, diastolic blood pressure, and EF were significantly lower among patients with RVD than those with normal RV function.Conclusion:RVD is common and is associated with more advanced heart failure and possibly worse prognosis among Nigerians with heart failure. Screening for RVD is encouraged to identify and aggressively treat to reduce the associated increased mortality.

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“…Elffers et al [31] showed that discriminative performance of the Sokolow-Lyon voltage criteria is poor (AUC: 0.58) in obese individuals, while Ricciardi et al [62] showed that the Cornel voltage and Cornel product criteria have a more accurate diagnostic performance compared with other hospitalized patients. Courad et al [63] suggested that the R wave in a VL lead should be the first index used to detect LVH of hypertensive patients, and it should replace the Sokolow-Lyon index due to the latter's inadequacies. On the other hand, in the Losartan Intervention For Endpoint (LIFE) study, obese and overweight hypertensive patients had a lower Sokolow-Lyon index in comparison to normal-weight individuals, and a lower prevalence of recognition LVH using a lower Sokolow-Lyon voltage [64].…”

Section: Electrocardiographic Indicatorsmentioning

confidence: 99%

ECG Indices Poorly Predict Left Ventricular Hypertrophy and Are Applicable Only in Individuals with Low Cardiovascular Risk

Chlabicz

Jamiołkowski

Paniczko

et al. 2020

JCM

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Background: Left ventricular hypertrophy (LVH) is an important risk factor for cardiovascular events. The electrocardiography (ECG) has poor sensitivity, but it is commonly used to detect LVH. Aim: To evaluate the diagnostic efficacy of known ECG indicators to recognize LVH in subgroups with different cardiovascular risk levels. Methods: 676 volunteers were included. Results: We found that 10.2% of the analyzed population had LVH based on echocardiography. Individuals with LVH were older, had a higher body mass index, higher systolic blood pressure, lower heart rate, higher parameters of insulin resistance, higher cardiovascular risk, and android-type obesity. Variables that remained independently associated with LVH were QRS duration, left atrial volume index, troponin T, and hemoglobin A1c. The receiver operating characteristics (ROC) curve analysis of the Sokolow–Lyon index did not show a significant predictive ability to diagnose LVH in the whole study population including all cardiovascular risk classes. The ROC curves analysis of Cornell and Lewis indices showed a modest predictive ability to diagnose LVH in the general population and in a low cardiovascular class. Conclusions: There is a need for new, simple methods to diagnose LVH in the general population in order to properly evaluate cardiovascular risk and introduce optimal medical treatment of concomitant disease.

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Electrocardiographic detection of left ventricular hypertrophy: Time to forget the Sokolow-Lyon index?

Cited by 8 publications

References 18 publications

<p>Consistency of left ventricular hypertrophy diagnosed by electrocardiography and echocardiography: the Northern Shanghai Study</p>

<p>Consistency of left ventricular hypertrophy diagnosed by electrocardiography and echocardiography: the Northern Shanghai Study</p>

Right ventricular function in patients with heart failure in a cardiac clinic in Southwest Nigeria

ECG Indices Poorly Predict Left Ventricular Hypertrophy and Are Applicable Only in Individuals with Low Cardiovascular Risk

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