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Electrocardiographic criteria for left ventricular hypertrophy in aortic valve stenosis: Correlation with echocardiographic parameters

Annals of Noninvasive Electrocardiology Mar 27, 2019

Bula K, et al. - In this retrospective analysis of 95 patients with moderate to severe aortic valve stenosis (AS), researchers evaluated the prevalence of the electrocardiographic criteria for left ventricular hypertrophy (LVH) as well as the link between the ECG criteria for LVH and echocardiographic parameters. They used 8 ECG criteria for LVH and performed comparisons with the findings of transthoracic echocardiography (TTE). They detected at least one of the ECG criteria for LVH in 59% of patients. A higher LVMI and peak aortic jet velocity along with smaller aortic valve area were detected in these patients vs in patients with a negative ECG for LVH. For the detection of LVH confirmed by TTE, a poor sensitivity was yielded by electrocardiographic criteria for LVH in this study population. Findings revealed a weak correlation of values of the selected ECG criteria for LVH, with both the TTE indices of LVH and the markers of AS severity.
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