Value of the electrocardiographic Cornell criteria for detecting left ventricular hypertrophy in elderly men.
- Author:
Xue-zhai ZENG
1
;
De-ping LIU
;
Qing HE
;
Hong-lin GUO
;
Fang FANG
;
Dong-ge LIU
;
Rong DONG
;
Huan-yu ZENG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Electrocardiography; standards; Humans; Hypertrophy, Left Ventricular; diagnosis; pathology; Male; Middle Aged; Reference Values; Retrospective Studies; Sensitivity and Specificity
- From: Chinese Journal of Cardiology 2009;37(1):56-58
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the value of electrocardiographic (ECG) Cornell criteria for detecting left ventricular hypertrophy (LVH) in elderly Chinese men.
METHODSSince 1990, 244 autopsies were performed in our hospital in elderly men, LVH was determined in these autopsy hearts and correlated to ECG LVH signs recorded within 3 months before death according to Cornell (SV3+RaVL) and Sokolow-Lyon criteria (SV1+RV5 or RV6). The reference value of Cornell criteria was obtained based on values from autopsied healthy hearts, the sensitivity and specificity of Cornell and Sokolow-Lyon criteria for detecting left ventricular hypertrophy in these elderly men were calculated.
RESULTSThere were significantly correlations between QRS amplitudes of Cornell and Sokolow-Lyon criteria and autopsy left ventricular wall thickness in these hearts. The reference value of Cornell criteria (SV3+RaVL) was 2.9 mV. The sensitivity of Sokolow-Lyon and Cornell criteria for detecting LVH was 25.4% and 34.3% (P<0.05 vs Sokolow-Lyon criteria), respectively.
CONCLUSIONVoltage (SV3+RaVL)>or=2.9 mV might be a suitable diagnostic value for detecting left ventricular hypertrophy in Chinese elderly men.
