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10.1186/s12872-015-0066-5

http://scihub22266oqcxt.onion/10.1186/s12872-015-0066-5
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suck abstract from ncbi


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pmid26169782
      BMC+Cardiovasc+Disord 2015 ; 15 (ä): 69
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  • Performance of Sokolow-Lyon index in detection of echocardiographically diagnosed left ventricular hypertrophy in a normal Eastern German population - results of the CARLA study #MMPMID26169782
  • Schröder J ; Nuding S ; Müller-Werdan U ; Werdan K ; Kluttig A ; Russ M ; Greiser KH ; Kors JA ; Haerting J ; Medenwald D
  • BMC Cardiovasc Disord 2015[Jul]; 15 (ä): 69 PMID26169782 show ga
  • BACKGROUND: Arterial hypertension is a common disease with high prevalence in the general population. Left ventricular hypertrophy (LVH) is an independent risk factor in arterial hypertension. Electrocardiographic indices like the Sokolow-Lyon index (SLI) are recommended as diagnostic screening methods for LVH. We assessed the diagnostic performance of the SLI in a cohort of a large general population. METHODS: We used electrocardiographic and echocardiographic data from the prospective, population-based cohort study CARdio-vascular Disease, Living and Ageing in Halle (CARLA). Linear and logistic regression models were used to assess the association of SLI with LVH. To assess the impact of the body-mass-index (BMI), we performed interaction analyses. RESULTS: AUC of SLI to predict LVH was 55.3 %, sensitivity of the SLI was 5 %, specificity 97 %. We found a significant association of SLI after covariate-adjustment with echocardiographically detected LVH (increase of left-ventricular mass index, LVMI 7.0 g/m(2) per 1 mV increase of SLI, p??30 kg/m(2)) we found the strongest association with an increase of 9.2 g/m(2) per 1 mV. CONCLUSIONS: Although statistically significant, relations of SLI and echocardiographic parameters of LVH were weak and mainly driven by the increase in LVIDd, implicating a more eccentric type of LVH in the collective. The relations were strongest when obese subjects were taken into account. Our data do not favour the SLI as a diagnostic screening test to identify patients at risk for LVH, especially in non-obese subjects without eccentric LVH.
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Aging/*pathology [MESH]
  • |Cohort Studies [MESH]
  • |Echocardiography/*standards [MESH]
  • |Female [MESH]
  • |Germany, East/epidemiology [MESH]
  • |Humans [MESH]
  • |Hypertrophy, Left Ventricular/*diagnostic imaging/*epidemiology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]


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