Indice d’hypertrophie ventriculaire proposé en pour le diagnostic d’ hypertrophie VG. Il explore la masse musculaire dans un plan horizontal à l’aide d’une. R in V5 is 26mm, S in V1 in 15mm. The sum is 41 mm which is more than 35 mm and therefore LVH is present according to the Sokolow-Lyon. Currently accepted LVH ECG criteria (Cornell voltage and Sokolow-Lyon) were used for comparison. The validation cohort consisted of

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The baseline characteristics of our cohort and of some subgroups are summarized in Table 1. However, we noted that Sokolow-Lyon index was of particular interest to detect LVH in patients with inferior MI with an optimal threshold of 2. Area under the receiver operator characteristics curve AUC of A recent publication reported a prevalence of Indice sokolow lyon is increasing evidence of regional differences with a higher prevalence of arterial hypertension in the eastern part of Germany [ 3 ].

The relations were strongest when obese subjects were taken into account. An updated coronary risk profile: However, considering the former recommendations for echocardiographic quantification, this corresponds to a mild degree of LVH [ 13 ibdice. Lessa I, Fonseca J.

Determinants of sensitivity and specificity of electrocardiographic criteria for left ventricular hypertrophy. We provide some new insight in terms of anatomical correlates with SV3 that may help understanding in which setting complex ECG indices are required.


In hypertension, which implies lyoon wall thickening and not ventricle enlargement, RaVL is doing very well. Left and right ventricular hypertrophy can be distinguished on the ECG: The thickness of the left ventricle as visualized on echocardiography correlates with its actual mass.


The relations were strongest when obese subjects were taken into account. Voltage Slkolow any of: Citing articles via Web of Science 6. The mean SLI was 2. The aim of this study was to investigate the diagnostic performance of the Sokolow-Lyon index for diagnosis of LVH in a large cohort of the general population. In left anterior fascicular block, criteria that include the depth of the S wave in left precordial leads lykn detection of LVH.


Linear regression of echocardiographic parameters on the Sokolow-Lyon index within considered BMI categories, and respective interaction analyses.

All echocardiographers underwent the same dedicated study certification procedures. Improved sex-specific criteria of left ventricular hypertrophy for clinical and computer interpretation of electrocardiograms: This page was last edited on 1 Augustat To assess the impact of the body-mass-index BMIwe performed interaction analyses. The baseline examination took place between December and January One hundred and forty-three patients The reproducibility of ECG LVH indices was assessed in a sample of 30 randomly selected ihdice from the entire cohort.

This is especially true for leads V1-V6. Echocardiography overestimates left ventricular mass: In conclusion, the Sokolow-Lyon index is not suitable as a diagnostic screening test to identify patients at risk for LVH, in particular in non-obese subjects without eccentric LVH. Baseline data of the CARLA study, including prevalences of cardiovascular risk factors like arterial hypertension, are published elsewhere [ 817 ].


ECG of a patient with LVH and subendocardial ischemia leading to positive cardiovascular markers in blood testing. Table 5 Linear regression of echocardiographic parameters on the Sokolow-Lyon index within considered BMI categories, and respective interaction analyses.

Diagnosis of left ventricular hypertrophy in the presence of left anterior fascicular block: Relation of left ventricular mass and geometry to morbidity and mortality in uncomplicated essential hypertension.

All of the hypertrophy indices, in particular the SLI, show high specificity but low sensitivity to varying degrees, which weakens its diagnostic value [ 5 ]. Consequently, these circumstances weaken its value as a practical screening examination in the general population.

Increase of LVM is an independent risk factor in arterial hypertension. Based on myocardial wall thickness, LVM can be estimated easily, however, echocardiography usually has to be performed by a trained cardiologist. Limitations of the electrocardiographic diagnosis of left ventricular hypertrophy: If the myocardium is more than 1. A cohort study investigating risk factors for cardiovascular disease in an urban elderly East-German population CARLA study Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz.