Best LVH-ECG criteria for Indonesian hypertensives

Abstract

Most of available left ventricular hypertrophy electrocardiographic (LVH-ECG) criteria which have different sensitivities and specificities have not been applied in Indonesian population. Left ventricular hypertrophy (LVH) happens as a pathophysiologic adjustment to the increased afterload in arterial hypertension. There are ECG and echocardiogram data gained including 19 hypertensive persons and 6 for control measurements. These criteria were Sokolov Lyon (SL), Cornell Voltages (SV), and Romhillt Estees (SE). ECG LVH was pronounced as mass of LV with index for height at 95 percent as the control. The value of electrocardiographic LVH prevalence found in the hypertensive sick persons with electrocardiographic criteria as 47% for SL, 21% for CV, and 16% for RE. SL criteria had the best sensitivity (80%) while the RE score with specificity of 93% as the best. The best ECG LVH for sensitivity and specificity is Sokolov Lyon criteria which could be the best in ECG criteria for LVH diagnosis in Indonesia.

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