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.author | Seubsung A. | |
dc.contributor.author | Sabkaewyod P. | |
dc.contributor.author | Prakongwong V. | |
dc.contributor.author | Prasertkulchai W. | |
dc.contributor.author | Tangcharoen T. | |
dc.contributor.other | Mahidol University | |
dc.date.accessioned | 2023-05-19T08:24:21Z | |
dc.date.available | 2023-05-19T08:24:21Z | |
dc.date.issued | 2023-02-01 | |
dc.description.abstract | Background: 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.citation | Journal of the Medical Association of Thailand Vol.106 No.2 (2023) , 139-145 | |
dc.identifier.doi | 10.35755/jmedassocthai.2023.02.13773 | |
dc.identifier.issn | 01252208 | |
dc.identifier.scopus | 2-s2.0-85149020579 | |
dc.identifier.uri | https://repository.li.mahidol.ac.th/handle/123456789/82408 | |
dc.rights.holder | SCOPUS | |
dc.subject | Medicine | |
dc.title | 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.type | Article | |
mu.datasource.scopus | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85149020579&origin=inward | |
oaire.citation.endPage | 145 | |
oaire.citation.issue | 2 | |
oaire.citation.startPage | 139 | |
oaire.citation.title | Journal of the Medical Association of Thailand | |
oaire.citation.volume | 106 | |
oairecerif.author.affiliation | Ramathibodi Hospital |