We prospectively studied 3,338 women and 3,330 men referred with hypertension, with an average followup of 11. Moreover, the product of qrs duration and voltage based on the sokolow lyon and cornell criteria for detecting lvh has shown more accurately than the voltage criteria alone 4,5. Sum of s wave in v1 and r wave in v5 or v6 mv 35 mm. The clinical usefulness of the sokolowlyon voltage criteria in the assessment of electrocardiographic left ventricular hypertrophy ecg lvh is addressed. Hallazgos electrocardiograficos en pacientes hipertensos del. Lvh indices were constructed as combinations of parameters. Sokolow lyon criteria it is used to detect left ventricular hypertrophy lvh using an ecg.
Half of the patients were treated for hypertension. In a case of lvh, the amplitude of the s wave is increased in right oriented leads like v1 and that of the r wave is increased in left oriented leads like v5 and v6. The clinical usefulness of the sokolow lyon voltage criteria in the assessment of electrocardiographic left ventricular hypertrophy ecg lvh is addressed. This might support recent findings which also implicate a higher prevalence of eccentric lvh prevailing over concentric lvh in obese patients, which might be explained by the elevated cardiac output and increased plasma volume in those patients 26. Of these, both sexindependent sokolowlyon and sexspecific cornell voltage criteria are used most commonly 2,3. Electrocardiography diagnosis of the left ventricular hypertrophy in. The role of preclinical cardiovascular disease in the evolution from risk factor exposure to the development of clinical morbid events. While ventricular hypertrophy occurs naturally as a reaction to aerobic exercise and strength training, it is most frequently referred to as a pathological reaction to cardiovascular disease, or high blood pressure. Revision of the sokolowlyonrappaport and cornell voltage criteria. Related articles in pubmed diagnosis of obesity and use of obesity biomarkers in science and clinical medicine.
The electrocardiogram ecg often shows signs of increased voltage from the heart in individuals with lvh, so this is often used as a screening test to determine who should undergo further testing. Left ventricular hypertrophy determined by sokolowlyon. A comparison of cornell and sokolowlyon electrocardiographic. Oxford university press is a department of the university of oxford.
Electrocardiografia basicacrecimientos auriculares y. Jun 23, 2019 indice sokolow lyon pdf download top pdf. Sokolowlyon criteria it is used to detect left ventricular hypertrophy lvh using an ecg. Segue alguns criterios sve, com suas respectivas sensibilidades e especificidades. Jun 22, 2019 indice sokolow lyon pdf download top pdf.
There are two criteria with these widely used indices. Electrocardiographic detection of left ventricular. Moreover, the product of qrs duration and voltage based on the sokolowlyon and cornell criteria for detecting lvh has shown more accurately than the. It is one aspect of ventricular remodeling while lvh itself is not a disease, it is usually a marker for disease involving the heart. Other lvh voltage criteria were also included in the analysis. The ventricular complex in left ventricular hypertrophy as obtained by unipolar and limb leads. Electrocardiographic indices like the sokolowlyon index sli are. The principal method to diagnose lvh is echocardiography, with which the thickness of the muscle of the heart can be measured. The sokolowlyon voltage was obtained by adding the amplitude of s in v 1 and the amplitude of r in v 5 or v 6.
1017 926 238 1565 1491 1584 242 1413 1142 283 1012 936 954 379 861 1059 1250 966 1340 1234 467 474 245 709 1321 1287 1172 916 569 734 108 1149 620 1323 467 75 381 773 288