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A Fortified Method to Screen and Detect Left Ventricular Hypertrophy in Asymptomatic Hypertensive Adults: A Korean Retrospective, Cross-Sectional Study
المؤلفون المشاركون
Park, Hyo Eun
Chon, Sung-Bin
Na, Sang Hoon
Lee, Heesun
Choi, Su-Yeon
المصدر
International Journal of Hypertension
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-25
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Purpose.
Left ventricular (LV) mass is determined by the wall thickness and diameter.
LV hypertrophy (LVH), the increase in LV mass, is usually screened with electrocardiography but is often insensitive.
We tried to fortify the rule to detect LVH using cardiothoracic ratio (CTR) in chest X-ray and well-known risk factors besides electrocardiography.
Materials and Methods.
This retrospective cross-sectional study included asymptomatic hypertensive individuals aged ≥40 y who underwent voluntary checkups including echocardiography.
Independent variables to explain LVH (LV mass index>115 g/m2 for men and >95 g/m2 for women calculated on echocardiography) were chosen among Sokolow-Lyon voltage amplitude (SLVA), CTR and cardiovascular risk factors by multiple logistic regression analysis.
The diagnostic rule to detect LVH was made by summing up the rounded-off odds ratio of each independent variable and was validated using bootstrapping method.
Results.
Among the 789 cases enrolled (202 females (25.6%), mean age 59.6±8.8 y), 168 (21.3%) had LVH.
The diagnostic rule summed female, age≥65 y, BMI≥25 kg/m2, SLVA≥35 mm, and CTR≥0.50 (scoring 1 per each).
Its c-statistics was 0.700 (95% CI: 0.653, 0.747), significantly higher (p<0.001) than that of SLVA≥35 mm, 0.522 (95% CI: 0.472, 0.572).
The sensitivity and specificity of the model were 61.9% and 72.1% for score≥2 and 30.4% and 92.9% for score≥3.
The SLVA≥35 mm criteria showed sensitivity of 12.5% and specificity of 91.9%.
Conclusions.
The rule to sum up the number of the risk factors of female, age≥65 y, BMI≥25 kg/m2, SLVA≥35 mm, and CTR≥0.50 may be a better diagnostic tool for screening LVH, than the electrocardiography-only criteria, at the score≥2.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Park, Hyo Eun& Chon, Sung-Bin& Na, Sang Hoon& Lee, Heesun& Choi, Su-Yeon. 2018. A Fortified Method to Screen and Detect Left Ventricular Hypertrophy in Asymptomatic Hypertensive Adults: A Korean Retrospective, Cross-Sectional Study. International Journal of Hypertension،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1173165
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Park, Hyo Eun…[et al.]. A Fortified Method to Screen and Detect Left Ventricular Hypertrophy in Asymptomatic Hypertensive Adults: A Korean Retrospective, Cross-Sectional Study. International Journal of Hypertension No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1173165
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Park, Hyo Eun& Chon, Sung-Bin& Na, Sang Hoon& Lee, Heesun& Choi, Su-Yeon. A Fortified Method to Screen and Detect Left Ventricular Hypertrophy in Asymptomatic Hypertensive Adults: A Korean Retrospective, Cross-Sectional Study. International Journal of Hypertension. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1173165
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1173165
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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