지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 112 - 122 (11page)
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초록· 키워드
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Background: Left ventricular hypertrophy (LVH) offers prognostic information beyond that provided by the evaluation oftraditional cardiovascular risk factors. However, the validation of electrocardiogram (ECG) criteria for the diagnosis of LVH islimited in Korea general population. The purpose of this study is to investigate the diagnostic accuracy of ECG criteria for thedetection of LVH in general population. Methods: In the present study, we investigated a total of 1,946 adults from thecommunity-based cohort. The left ventricular mass index (LVMI) was estimated with echocardiographic measurement andadjusted with body surface area. LVH was defined as a value greater than or equal to the sex-specific 90th percentile value ofLVMI. ECG criteria for the diagnosis of LVH were Sokolow-Lyon criteria and Cornell criteria. Results: The LVMI wassignificantly higher in male subjects (91.1 ± 23.9 g/m2 vs. 83.9 ± 21.7 g/m2, p ＜0.001). The cutoff values were 120.8 g/m2 in malesubjects and 112.2 g/m2 in female subjects. The sensitivity and specificity of Sokolow-Lyon criteria were 5.6% and 93.6% in male,4.1% and 97.8% in female. Those of Cornell criteria were 2.8% and 98.7% in male, 14.3% and 95.8% in female. In male, the areaunder the receiver operating characteristic curves of Sokolow-Lyon voltage and Cornell voltage were 0.55 and 0.52. And those infemale were 0.59 and 0.60. Conclusions: In our community-based sample, ECG criteria showed low sensitivity and high specificity. The performance of ECG criteria for detection of LVH was suboptimal, suggesting limited usefulness of ECG as mass screening tools.
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참고문헌 (23)
참고문헌 신청
Casale PN / 1985 / Electrocardiographic detection of left ventricular hypertrophy : development and prospective validation of improved criteria / J Am Coll Cardiol 6 : 572 ~
Chobanian AV / 2003 / The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure : the JNC 7 report / JAMA
Daimon M / 2008 / Normal values of echocardiographic parameters in relation to age in a healthy Japanese population : the JAMP study / Circ J 72 : 1859 ~ 1866
Devereux RB / 1984 / Standardization of M-mode echocardiographic left ventricular anatomic measurements / J Am Coll Cardiol 4 : 1222 ~ 1230
Harshfield GA / 1994 / Racial differences in the age-related increase in left ventricular mass in youths / Hypertension 24 : 747 ~ 751
Chobanian AV / 2003 / The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure : the JNC 7 report / JAMA
Daimon M / 2008 / Normal values of echocardiographic parameters in relation to age in a healthy Japanese population : the JAMP study / Circ J 72 : 1859 ~ 1866
Devereux RB / 1984 / Standardization of M-mode echocardiographic left ventricular anatomic measurements / J Am Coll Cardiol 4 : 1222 ~ 1230
Harshfield GA / 1994 / Racial differences in the age-related increase in left ventricular mass in youths / Hypertension 24 : 747 ~ 751
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