ISE/ISHNE Expert Consensus Statement on ECG Diagnosis of Left Ventricular Hypertrophy: The Change of the Paradigm. The joint paper of the International Society of Electrocardiology and the International Society for Holter Monitoring and Noninvasive Electrocardiology

被引：2

作者：

Bacharova, Ljuba ^{[1
]}

Chevalier, Philippe ^{[2
,3
]}

Gorenek, Bulent ^{[4
]}

Jons, Christian ^{[5
]}

Li, Yi-Gang ^{[6
]}

Locati, Emanuela T. ^{[7
]}

Maanja, Maren ^{[8
]}

Perez-Riera, Andres Ricardo ^{[9
,22
]}

Platonov, Pyotr G. ^{[10
]}

Ribeiro, Antonio Luiz P. ^{[11
,12
]}

Schocken, Douglas ^{[13
]}

Soliman, Elsayed Z. ^{[14
]}

Svehlikova, Jana ^{[15
]}

Tereshchenko, Larisa G. ^{[16
]}

Ugander, Martin ^{[17
,18
]}

Varma, Niraj ^{[19
]}

Zaklyazminskaya, Elena ^{[20
]}

Ikeda, Takanori ^{[21
]}

机构：

[1] Int Laser Ctr CVTI, Ilkovicova 3, Bratislava 84104, Slovakia

[2] Claude Bernard Univ Lyon 1, Neuromyogene Inst, Villeurbanne, France

[3] Hosp Civils Lyon, Serv Biostat, Lyon, France

[4] Eskisehir Osmangazi Univ, Dept Cardiol, Eskisehir, Turkiye

[5] Copenhagen Univ Hosp, Rigshosp, Dept Cardiol, Copenhagen, Denmark

[6] Shanghai Jiao Tong Univ, Sch Med, Xinhua Hosp, Dept Cardiol, Shanghai 200092, Peoples R China

[7] IRCCS Policlin San Donato, Dept Arrhythmol & Electrophysiol, Piazza E Malan 2, I-20097 San Donato Milanese, Milano, Italy

[8] Karolinska Inst, Karolinska Univ Hosp, Dept Clin Physiol, Stockholm, Sweden

[9] Uni Uninove, Maua, SP, Brazil

[10] Lund Univ, Dept Cardiol, Clin Sci, Lund, Sweden

[11] Univ Fed Minas Gerais, Fac Med, Internal Med, Belo Horizonte, MG, Brazil

[12] Univ Fed Minas Gerais, Hosp Clin, Telehlth Ctr, Belo Horizonte, MG, Brazil

[13] Duke Univ, Med Ctr, Dept Med, Div Cardiol, Durham, NC USA

[14] Wake Forest Sch Med, Dept Med, Sect Cardiovasc Med, Epidemiol Cardiol Res Ctr, Winston Salem, NC USA

[15] Slovak Acad Sci, Inst Measurement Sci, Bratislava, Slovakia

[16] Cleveland Clin, Lerner Res Inst, Dept Quantitat Hlth Sci, 9500 Euclid Ave,JJN3-01, Cleveland, OH 44195 USA

[17] Univ Sydney, Fac Med & Hlth, Sydney, NSW, Australia

[18] Karolinska Inst, Dept Clin Physiol, Stockholm, Sweden

[19] Cleveland Clin, Heart & Vasc Inst, Cardiac Pacing & Electrophysiol, 9500 Euclid Ave J2-2, Cleveland Hts, OH 44195 USA

[20] Petrovsky Natl Res Ctr Surg, Med Genet Lab, Moscow 119991, Russia

[21] Toho Univ, Fac Med, Tokyo, Japan

[22] Ctr Univ FMABC, Santo Andre, SP, Brazil

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2023年 / 81卷

关键词：

Left ventricular hypertrophy; ECG; New paradigm; BUNDLE-BRANCH BLOCK; CARDIOVASCULAR MAGNETIC-RESONANCE; FRAGMENTED QRS COMPLEXES; ALL-CAUSE MORTALITY; PROGNOSTIC IMPLICATIONS; INDEPENDENT PREDICTOR; RISK PREDICTION; HEART-FAILURE; INITIAL-STAGE; MASS;

D O I：

10.1016/j.jelectrocard.2023.08.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The ECG diagnosis of LVH is predominantly based on the QRS voltage criteria, i.e. the increased QRS complex amplitude in defined leads. The classical ECG diagnostic paradigm postulates that the increased left ventricular mass generates a stronger electrical field, increasing the leftward and posterior QRS forces. These increased forces are reflected in the augmented QRS amplitude in the corresponding leads. However, the clinical observations document increased QRS amplitude only in the minority of patients with LVH. The low sensitivity of voltage criteria has been repeatedly documented. We discuss possible reasons for this shortcoming and proposal of a new paradigm.

引用

页码：85 / 93

页数：9

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