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Electrocardiographic criteria for left ventricular hypertrophy in aortic valve stenosis: Correlation with

Karolina Bula1, Anna Ćmiel2, Monika Sejud2

  • 1First Department of Cardiology, School of Medicine in Katowice, Upper Silesian Medical Centre, Medical University of Silesia, Katowice, Poland.

Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
|March 22, 2019
PubMed

Insights

Electrocardiogram (ECG) criteria for left ventricular hypertrophy (LVH) are not sensitive in detecting LVH in patients with aortic stenosis (AS). While present in 59% of patients, ECG findings weakly correlate with echocardiographic measures of AS severity.

Area of Science:

  • Cardiology
  • Medical Diagnostics

Background:

  • Aortic stenosis (AS) causes chronic pressure overload, leading to left ventricular hypertrophy (LVH).
  • Assessing LVH in AS patients is crucial for understanding disease progression and management.

Purpose of the Study:

  • To determine the prevalence of electrocardiographic (ECG) criteria for LVH in patients with significant AS.
  • To evaluate the correlation between ECG-detected LVH and echocardiographic parameters in these patients.

Main Methods:

  • Retrospective analysis of clinical data from 95 patients with moderate to severe AS.
  • Comparison of eight ECG criteria for LVH against transthoracic echocardiography (TTE) results.

Main Results:

  • At least one ECG criterion for LVH was identified in 59% of patients.
  • ECG-positive patients showed significantly higher LVMI and peak aortic jet velocity, and smaller aortic valve area.
  • ECG criteria exhibited low sensitivity (6%-36.9%) but high specificity (up to 100%), with Cornell Voltage criteria showing the best sensitivity and correlation with LVMI.

Conclusions:

  • Electrocardiographic criteria for LVH have poor sensitivity in identifying TTE-confirmed LVH in moderate to severe AS.
  • ECG findings correlate weakly with TTE indices of LVH and AS severity markers.
Abstract

Keywords:
aortic valve stenosiselectrocardiographyleft ventricular hypertrophy

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