Relation between electrocardiography and echocardiography for left ventricular mass in mild systemic hypertension (results from treatment of mild hypertension study)

Clinical recognition of hypertensive cardiac involvement depends primarily on use of noninvasive methods. The performance of 8 electrocardiographs (ECG) criteria sets were compared with an echocardiographic standard in the Treatment of Mild Hypertension Study. Electrocardiograms were computer proces...

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Bibliographic Details
Published in:The American journal of cardiology 1995-06, Vol.75 (17), p.1233-1238
Main Authors: Crow, Richard S., Prineas, Ronald J., Rautaharju, Pentti, Hannan, Peter, Liebson, Philip R.
Format: Article
Language:English
Subjects:
African Continental Ancestry Group
Aged
Biological and medical sciences
Body Mass Index
Cardiovascular system
Echocardiography
Electrocardiography
European Continental Ancestry Group
Female
Heart
Humans
Hypertension
Hypertension - complications
Hypertrophy, Left Ventricular - diagnosis
Hypertrophy, Left Ventricular - diagnostic imaging
Hypertrophy, Left Ventricular - etiology
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical research
Medical sciences
Middle Aged
Sensitivity and Specificity
Signal Processing, Computer-Assisted
Ultrasonic imaging
Ultrasonic investigative techniques
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Summary:Clinical recognition of hypertensive cardiac involvement depends primarily on use of noninvasive methods. The performance of 8 electrocardiographs (ECG) criteria sets were compared with an echocardiographic standard in the Treatment of Mild Hypertension Study. Electrocardiograms were computer processed to define the following ECG criteria sets: (1) Casale/Devereux, (2) Cornell product, (3) Cornell voltage, (4) 12-lead voltage product, (5) sum of 12-lead voltage, (6) Rautaharju, (7) Sokolow-Lyon, and (8) Romhilt-Estes. Echocardiographic left ventricular (LV) mass index was calculated by using the Penn convention on a biracial population of 834 men and women. Correlations between ECG and echocardiographic LV mass index were modest (
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(99)80769-3