ELECTROCARDIOGRAPHIC DIAGNOSIS OF LEFT VENTRICULAR HYPERTROPHY: COMPARISON WITH ECHOCARDIOGRAPHY

Authors

  • Waqas Hameed Dept. of Physiology, Army Medical College, Abid Majeed Road, Rawalpindi
  • Muhammad Shamaun Razi Shifa College of Medicine, Islamabad
  • Muhammad Alamgir Khan Dept. of Physiology, Army Medical College, Rawalpindi
  • Muhammad Mazhar Hussain Dept. of Physiology, Army Medical College, Rawalpindi
  • Sohail Aziz Dept. of Cardiology, Armed Forces Institute of Cardiology / National Institute of Heart Diseases, Rawalpindi
  • Shahid Habib College of Medicine, King Saud University, Riyadh, Saudi Arabia
  • Muhammad Aslam Dept. of Physiology, Army Medical College, Rawalpindi

Keywords:

Left ventricular hypertrophy, ECH, echocardiography, Romhilt-Estes, point score system

Abstract

The present study was conducted to determine the sensitivity and specificity of electrocardiographic criteria for the assessment of left ventricular hypertrophy by comparing it with the gold standard of echocardiography. Methods: Fifty clinically diagnosed patients of LVH were included in this collaborative study of Dept. of Physiology, Army Medical College, Rawalpindi and Department of Cardiology, Armed Forces Institute of Cardiology, Rawalpindi. ECG of the patients were recorded and Romhilt-Estes point score calculated. This was followed by echocardiography and left ventricular mass and left ventricular mass index was calculated. Results: It was found that Romhilt-Estes point score system of ECG had a sensitivity of 35% and specificity 90%. Conclusion: It is concluded that the sensitivity of ECG is low in detecting LVH, however, sensitivity can be increased by combining Sokolow Lyons voltage criteria and Cornell voltage criteria with Romhilt-Estes point score. ECG is however still recommended as a routine investigation because of its cost effectiveness and easy availability.

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Published

31-03-2005

How to Cite

1.
Hameed W, Razi MS, Khan MA, Hussain MM, Aziz S, Habib S, et al. ELECTROCARDIOGRAPHIC DIAGNOSIS OF LEFT VENTRICULAR HYPERTROPHY: COMPARISON WITH ECHOCARDIOGRAPHY. Pak J Phsyiol [Internet]. 2005 Mar. 31 [cited 2024 Jun. 22];1(1-2). Available from: https://pjp.pps.org.pk/index.php/PJP/article/view/590