在高血压非洲人中检测LVH的心电学标准的性能

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David Vandroux¹, Salmane Amidou², Souleymane Issa Sarki³

¹INSERM, U1094, Tropical Neuroepidemiology, Limoges, France; Univ. Limoges, U1094, Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France; IRD, Associated Unit, Tropical Neuroepidemiology, Limoges, France; CHU Limoges, Cardio-surgical Intensive Care Unit, Limoges, France.

Journal of electrocardiology

|August 22, 2024

概括

诊断左心室缩 (LVH) 的心电图 (ECG) 标准显示高血压非洲人的表现较低. 在这个人群中,康奈尔电压标准是对LVH诊断最准确的.

科学领域:

心脏病学心脏病学
医学诊断医学诊断医学诊断
电心电图是指心电图.

背景情况:

左心室缩 (LVH) 是心血管事件的重要危险因素.
准确诊断LVH对于及时干预和管理至关重要.
对于LVH,现有的心电图 (ECG) 标准在不同族群之间可能具有不同的诊断性能.

研究的目的:

通过使用特定种族的正常值,评估已建立的LVH心电图 (ECG) 标准的诊断性能.
确定在高血压非洲人口中诊断LVH的最准确的ECG标准.

主要方法:

一组309名高血压患者接受了12心电图和心声回声分析.
使用特定种族规范的心声学作为LVH诊断的黄金标准.
标准心电图标准 (Sokolow-Lyon,Peguero-Lo Presti,康奈尔电压,康奈尔产品) 的性能使用曲线下的面积 (AUC) 来评估.

主要成果:

目前的心电图标准表明,在诊断LVH时,整体表现不佳.
曲线下的面积 (AUC) 值为索科洛夫-里昂的0.61,佩格罗-洛普雷斯蒂的0.65,康奈尔电压的0.72,康奈尔产品的0.71.
康奈尔电压在评估的心电图标准中表现出最高的诊断准确性.

结论:

在高血压非洲人群中,标准心电图标准对LVH诊断的准确性有限.
康奈尔电压标准是最有效的心电图方法,用于在这个特定的人口群体中识别LVH.
进一步的研究可能是有必要的,以完善在不同种族的人群中检测LVH的ECG标准.

关键词:

非洲非洲非洲这是一个ECGECGECGECGECG.在高血压的高血压.左心室过度缩小的情况

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