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2015 ; 15
(ä): 69
Nephropedia Template TP
gab.com Text
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English Wikipedia
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?0.0001). However, this association was
mainly caused by an association of SLI with the left-ventricular internal
diameter (LVIDd, increase of 0.06 cm/m(2) per 1 mV increase of SLI, p?0.0001).
In obese (BMI?>?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]