Accuracy of Peguero-Lo Presti ECG Criteria for Left Ventricular Hypertrophy Diagnosis in Elderly Thai Patients Using Cardiovascular Magnetic Resonance as a Gold Standard

dc.contributor.authorSeubsung A.
dc.contributor.authorSabkaewyod P.
dc.contributor.authorPrakongwong V.
dc.contributor.authorPrasertkulchai W.
dc.contributor.authorTangcharoen T.
dc.contributor.otherMahidol University
dc.date.accessioned2023-05-19T08:24:21Z
dc.date.available2023-05-19T08:24:21Z
dc.date.issued2023-02-01
dc.description.abstractBackground: The conventional electrocardiogram (ECG) criteria have shown low sensitivity for LVH detection in the elderly. Objective: To evaluate the diagnosis accuracy of the new ECG criteria proposed by Peguero-Lo Presti in this population using cardiovascular magnetic resonance (CMR) as a gold standard. Materials and Methods: Patients older than 60 years that underwent CMR (1.5 T and 3 T, Philips) between 2012 and 2019 were included. Exclusion criteria were abnormal CMR findings and abnormal baseline ECG. Left ventricular mass index (LVMI) was calculated from short-axis slices covering the entire left ventricle. LVH was defined as LVMI of 63 g/m2 or more in male patients and 48 g/m2 or more in female patients. LVH by new ECG criteria was defined by the deepest S + SV4 of 2.8 or more in males and 2.3 or more in females. Sensitivity, specificity, and accuracy between the new criteria and the Cornell voltage criteria were compared. Results: Five hundred fifty-nine patients were included with a mean age of 71±7 years old, and with 63.69% of female, 71.56% had hypertension, and 16.46% were octogenarian. Eighty patients (14.3%) had LVH detected by CMR. The new ECG criteria showed higher sensitivity compared with the Cornell voltage criteria especially in the octogenarian with a sensitivity of 15% versus 10% in overall and 31.25% versus 18.75% in octogenarian, but the AUC did not show significant difference at AUC of 0.56 versus 0.54 (p=0.67). Conclusion: Using CMR as the gold standard, the new ECG criteria showed higher sensitivity than the Cornell voltage criteria, especially in the octogenarian, without significant different accuracy.
dc.identifier.citationJournal of the Medical Association of Thailand Vol.106 No.2 (2023) , 139-145
dc.identifier.doi10.35755/jmedassocthai.2023.02.13773
dc.identifier.issn01252208
dc.identifier.scopus2-s2.0-85149020579
dc.identifier.urihttps://repository.li.mahidol.ac.th/handle/123456789/82408
dc.rights.holderSCOPUS
dc.subjectMedicine
dc.titleAccuracy of Peguero-Lo Presti ECG Criteria for Left Ventricular Hypertrophy Diagnosis in Elderly Thai Patients Using Cardiovascular Magnetic Resonance as a Gold Standard
dc.typeArticle
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85149020579&origin=inward
oaire.citation.endPage145
oaire.citation.issue2
oaire.citation.startPage139
oaire.citation.titleJournal of the Medical Association of Thailand
oaire.citation.volume106
oairecerif.author.affiliationRamathibodi Hospital

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