Utility of New Electrocardiographic Models for Left Ventricular Mass in Older Adults

Rautaharju, Pentti M.; Manolio, Teri A.; Siscovick, David S.; Zhou, Sophia H.; Gardin, Julius M.; Kronmal, Richard A.; Furberg, Curt D.; Borhani, Nemat O.; Newman, Anne B.

doi:10.1161/01.hyp.28.1.8

Cited by 64 publications

(46 citation statements)

References 44 publications

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“…There is, however, a strong correlation in the CHS between electrocardiographic criteria for increased left ventricular mass and echocardiographic measurements. 26 Both measures (ie, electrocardiographic and echocardiographic left ventricular mass) were related to similar risk factors, including prevalent clinical coronary artery disease, blood pressure levels, and obesity at baseline. Both electrocardiographic measures of ischemia and left ventricular hypertrophy and echocardiographic measures of left ventricular hypertrophy have been related to carotid artery disease.…”

Section: Discussionmentioning

confidence: 91%

Differences in Prevalence of and Risk Factors for Subclinical Vascular Disease Among Black and White Participants in the Cardiovascular Health Study

Kuller

Fisher

McClelland

et al. 1998

ATVB

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Abstract-A composite measure of subclinical vascular disease has been developed in the Cardiovascular Health Study (CHS). In previous reports, we measured the prevalence of subclinical disease among the original 5201 participants in the CHS, the relationship of risk factors to subclinical disease, and the association of subclinical disease to clinical coronary heart disease. In 1992 to 1993 (year 4 of the study), a larger cohort of 424 black women and 248 black men was added to the study. In this study, we have compared the prevalence of subclinical disease among blacks and whites in the CHS and the association with cardiovascular risk factors. The prevalence of subclinical disease for all participants (aged Ն65 years) was 41.3% for white women, 39.7% for black women, 41.9% for white men, and 43.7% for black men. The prevalence increased with age. The risk factor associations for subclinical disease were similar among blacks and whites. In multivariate analysis, age, systolic blood pressure, LDL cholesterol, smoking, and family history of myocardial infarction were independently associated with subclinical disease among both black and white women, while for white men, systolic blood pressure, use of antihypertensive medication, smoking, body mass index, and diastolic blood pressure (inverse) were related to subclinical disease. In black men, blood triglyceride level, use of antihypertensive medications, and family history of myocardial infarction (inverse) were associated with subclinical disease. A n important issue in cardiovascular disease research is whether the relationship between risk factors and cardiovascular disease is similar among different races, sexes, and ethnic groups. Most epidemiological studies have focused primarily on white populations. We have previously reported the relationship between risk factors and subclinical disease among whites in the Cardiovascular Health Study (CHS) 1 and the association of subclinical disease among whites and risk of clinical disease over an approximate 2.4-year follow-up. 2 We have also documented the prevalence of individual components (ie, specific measurements) of subclinical disease and the relationship of these attributes to risk factors, among a smaller sample of blacks measured at baseline in the year from 1989 to 1990 of the CHS. 3 The purpose of this study is to determine the risk factors for a composite measure of subclinical disease 1 among a larger sample of black and white participants in the CHS to determine whether there are any differences in key risk factors between blacks and whites.There were 153 black women (5.2%) and 91 black men (4.1%) aged Ն65 years among the original 5201 CHS participants recruited in 1989 to 1990 (year 1 of the CHS). In 1992 to 1993 (year 4 of the study), a larger cohort, consisting of 424 black women and 248 black men, was added to the CHS. The recruitment methods, using the Medicare participant files as a sampling frame, were the same as those for the baseline population in 1989 to 1990. 3 This study includes the ...

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Section: Discussionmentioning

confidence: 91%

Differences in Prevalence of and Risk Factors for Subclinical Vascular Disease Among Black and White Participants in the Cardiovascular Health Study

Kuller

Fisher

McClelland

et al. 1998

ATVB

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show abstract

“…These include indices based on products of voltage and QRS duration, 10 computation of QRS area, 11 composite use of several criteria, 12 and indices based on scores derived from regression equations that incorporate multiple electrocardiographic and nonelectrocardiographic factors. 13,14 The existence of many different criteria for diagnosing LVH makes clinical application more complex. The sensitivity of the various criteria is generally quite low (usually less than 50%), whereas the specificity is quite high (often in the range of 85% to 90%).…”

Section: Left Ventricular Hypertrophy Diagnostic Criteria Based On Qrmentioning

confidence: 99%

AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram

Hancock¹,

Deal²,

Mirvis³

et al. 2009

Circulation

292

111

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“…Being overweight is linked with an increased left ventricular mass (minor ECG changes) (13). Although being overweight was more common among women than among men of both cohorts in this study, it was less common among women in the second cohort.…”

Section: Discussionmentioning

confidence: 51%

Change in the prevalence of coronary heart disease among Finnish elderly men and women in the 1990s

Hartikainen

Ahto²,

Löppönen

et al. 2003

Scandinavian Journal of Primary Health Care

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Utility of New Electrocardiographic Models for Left Ventricular Mass in Older Adults

Cited by 64 publications

References 44 publications

Differences in Prevalence of and Risk Factors for Subclinical Vascular Disease Among Black and White Participants in the Cardiovascular Health Study

Differences in Prevalence of and Risk Factors for Subclinical Vascular Disease Among Black and White Participants in the Cardiovascular Health Study

AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram

Change in the prevalence of coronary heart disease among Finnish elderly men and women in the 1990s

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