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- W2081036006 abstract "Objective. To evaluate the usefulness of electrocardiographic left ventricular hypertrophy (ECG LVH) as a marker of LVH in middle‐aged subjects. Methods. LVH was determined by cardiovascular magnetic resonance imaging (MRI) in 188 apparently healthy middle‐aged [97 men (45±7 years) and 91 women (47±6 years)]. Receiver operating characteristic (ROC) curves, test sensitivity, specificity, positive and negative predictive values for identifying LVH at different ECG criteria were calculated. Results. Systolic and diastolic blood pressures were 142±13 mmHg and 90±8 mmHg in men and 139±10 mmHg and 90±8 mmHg in women, respectively. LVMI was 78±17 g/m2 in men and 67±12 g/m2 in women, and 14% of men and 22% of women had LVH in cardiac MRI. Only Sokolow–Lyon and Sokolow–Lyon product had the area under the ROC curve over 0.70. Sokolow–Lyon product had the highest sensitivity (47%). All ECG criteria had high negative predictive values, but the positive predictive values were below 46%. Conclusions. Commonly used ECG criteria of LVH have low discrimination ability in middle‐aged subjects. ECG LVH alone should not be used as a marker of target organ damage in middle‐aged, never treated and apparently healthy hypertensives." @default.
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- W2081036006 date "2007-01-01" @default.
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- W2081036006 title "Electrocardiographic left ventricular hypertrophy has low diagnostic accuracy in middle‐aged subjects" @default.
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- W2081036006 doi "https://doi.org/10.1080/08037050701288255" @default.
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