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[Electrocardiographic criteria for left ventricular hypertrophy and cardiovascular risk in hypertensives. VIIDA

José R González-Juanatey1, Luis Cea-Calvo, Vicente Bertomeu

  • 1Servicio de Cardiología, Hospital Clínico Universitario, Facultad de Medicina, Santiago de Compostela, La Coruña, Spain. jose.ramon.gonzalez.juanatey@sergas.es

Revista Espanola De Cardiologia
|March 7, 2007
PubMed

Insights

The Sokolow-Lyon and Cornell criteria identify distinct patient groups with left ventricular hypertrophy (LVH). Using both criteria improves detection of electrocardiographic LVH and identifies patients with higher cardiovascular disease risk.

Area of Science:

  • Cardiology
  • Electrocardiography
  • Hypertension

Context:

  • Left ventricular hypertrophy (LVH) is a significant cardiovascular risk factor.
  • Electrocardiographic criteria, such as Cornell and Sokolow-Lyon, are used to diagnose LVH.
  • Differentiating patient profiles based on these criteria is crucial for risk stratification.

Purpose:

  • To compare the patient groups identified by Cornell and Sokolow-Lyon criteria for electrocardiographic left ventricular hypertrophy (LVH).
  • To investigate the relationship between the severity of electrocardiographic LVH and the prevalence of cardiovascular disease.

Summary:

  • A multicenter study of 3074 hypertensive patients with electrocardiographic LVH found that Cornell and Sokolow-Lyon criteria identify different patient profiles.
  • Sokolow-Lyon criteria were associated with male gender, lower BMI, and higher myocardial infarction rates.
  • Cornell criteria were linked to female gender, higher BMI, and increased diabetes prevalence.
  • Meeting both criteria correlated with poor blood pressure control and higher heart failure rates.
  • LVH severity, assessed by both criteria combined, showed a significant association with increased cardiovascular disease prevalence (OR=2.03).

Impact:

  • The findings suggest that utilizing both Cornell and Sokolow-Lyon criteria enhances the detection of electrocardiographic LVH.
  • This combined approach aids in identifying patients with distinct high-risk cardiovascular profiles.
  • The study underscores the importance of LVH severity in predicting established cardiovascular disease, guiding clinical management and risk assessment.
Abstract

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