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- W2353289981 abstract "Objective:To investigate the prognostic significance of ECG changes in hypertensive patients with left ventricular hypertrophy. Methods:One hundred twenty six hypertensives with left ventricular hypertrophy (HT LVH) were followed up for 14 years . A cohort of age, sex, region and occupation matched hypertensives without LVH (HT, n= 163) and normotensives (NT, n= 275) served as controls. Correlation between 20 specific items of electrocardiographic abnormalities and cerebral cardiovascular events were studied,and the relative risks (RR) were evaluated. Results:It was showed that the major causes of death in hypertensives with ECG LVH in this study was stroke (56.8%). LVH based on voltage criteria only was not risk factor, the higher incidence of cardiovascular events was ascribed to coexisting higher level of BP usually accompanying higher ECG voltage.Electrocardiographic manifestations of asymmetric inverted T wave, ST segment depression, V 1 Ptf≤0.04 mm.sec, Q V5 ≥2mm and comprehensive abnormalities in patients with hypertension increased the risk of cardiovascular events, with the RR of 30.67, 14.75, 14.73, 12.48 and 11.24 respectively, as compared to the normotensives. After stratification of voltage and adjustment of coexisting hypertension, the risks of above abnormalities were still significant, with RR of 6.55, 2.99, 3.19, 2.32 and 2.26 respectively. Conclusion:Asymmetric inverted T wave, ST segment depression, V 1 Ptf≤0.04 mm.sec, Q V5 ≥2 mm and comprehensive abnormalities are independent risk factors for hypertensives." @default.
- W2353289981 created "2016-06-24" @default.
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- W2353289981 date "1999-01-01" @default.
- W2353289981 modified "2023-09-23" @default.
- W2353289981 title "The Prognostic Significance of Various Electrocardiographic Changes ;in Hypertensive Patients with Left Ventricular Hypertrophy" @default.
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