ELECTROCARDIOGRAPHIC DIAGNOSIS OF LEFT VENTRICULAR HYPERTROPHY IMPROVED BY CONSIDERING BOTH QRS VOLTAGE AND ST-T CRITERIA
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概要
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We evaluated the usefulness of a combination of QRS voltage and the pattern of ST-T abnormality in the electrocardiographic diagnosis of left ventricular hypertrophy (LVH) in 100 middle-aged men: 32 normals, 59 with hypertension (HT), and 9 with hypertrophic cardiomyopathy (HCM) with evidence of LVH (RV_5 or RV_6≥2.6 mV, SV_1+RV_5 or SV_1+RV_6≥3.5 mV). They The subjects were classified into three groups based on ST-T pattern: normal (group N), early strain (group ES), and strain (group S) . Echocardiographic evidence of LVH was present in 52.0% (52/100) of the subjects: 72.8% (43/59) of the patients with HT, all 9 patients with HCM, and none of the 32 normals. Echocardiographic evidence of LVH was present in 31.3% (20/64) of group N, 73.3% (11/15) of group ES, and all 21 subjects of group S. In patients with HT, the incidence of echocardiographic LVH was higher in group S (100%) than in both group ES (78.6%) and group N (60.6%). QRS voltage (RV_5,RV_6,RV_5 + SV_1, and RV_6 + SV_1) was significantly correlated with interventricular spetal thickness (IVST), IVST+LVPWT/2, and LV mass, as determined by echocardiography, in patients with LVH (IVST or left ventricular posterior wall thickness (LVPWT) of ≥l2mm) (r=0.55 to r=0.75, p<0.05), but not in patients without LVH (IVST and LVPWT<12 mm). There were significant correlations between QRS voltage indices (RV_5, RV_6, RV_5+SV_1, and RV_6+SV_1) and IVST, IVST+LVPWT/2, and LV mass in group S (r=0.68 to r=0.86, p<0.05), but not in group N. Values for IVST and LV mass were significantly greater in group S than in groups ES or N. The combination of QRS criteria and ST-T findings reflected the echocardiographic assessment of LVH, especially in patients with HT. The electrocardiographic diagnosis of LVH thus appeared to be improved by evaluating both the QRS voltage and ST-T abnormality pattern.
- 社団法人日本循環器学会の論文
- 1994-08-20
著者
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NODA Akiko
Nagoya University School of Health Sciences
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Yokota Mitsuhiro
Department Of Genome Science School Of Dentistry Aichi-gakuin University
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Yokota Mitsuhiro
Nagoya Univ. School of Med. 1st Dept. of Int. Med.
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Miyahara Takashi
Nagoya University College Of Medical Technology Cardiovascular Section Department Of Clinical Labora
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OKADA TAMOTSU
Nagoya University School of Health Sciences
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Okada Tamotsu
Department Of Psychiatry Nagoya University Graduate School Of Medicine
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YAMADA Hiroshi
Nagoya City University
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Yokota Mitsuhiro
Nagoya Univ.
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Okada Tamotsu
Department Of Medical Technology Nagoya University College Of Medical Technology
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YAGI TOMOKO
Nagoya University College of Medical Technology
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Yokota Mitsuhiro
Nagoya University College Of Medical Technology Cardiovascular Section Department Of Clinical Labora
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Yagi Tomoko
Nagoya University College Of Medical Technology Cardiovascular Section Department Of Clinical Labora
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Okada Tamotsu
Sleep Research Laboratory Okada Clinic
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Yamada Hiroshi
Nagoya University College Of Medical Technology Cardiovascular Section Department Of Clinical Labora
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