Electrocardiographic Diagnosis of Left Ventricular Hypertrophy in the Presence of Right Bundle Branch Block in Cases with Essential Hypertension
Right bundle branch block was diagnosed in electrocardiograms of 37 of 1085 patients with essential hypertension. Echocardiographically left ventricu lar hypertrophy was diagnosed in 14 of these 37 patients. Eighteen electrocar diographic (ECG) criteria, which were previously recommended, were deter...
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| Veröffentlicht in: | Angiology 1994-02, Vol.45 (2), p.101-105 |
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| creator | Nalbantgil, Istemi Önder, Remzi Kiliçcioglu, Bülent Işler, Mehmet |
| description | Right bundle branch block was diagnosed in electrocardiograms of 37 of 1085 patients with essential hypertension. Echocardiographically left ventricu lar hypertrophy was diagnosed in 14 of these 37 patients. Eighteen electrocar diographic (ECG) criteria, which were previously recommended, were deter mined in these 37 patients.
The sensitivities of five criteria were found to be better than 50%. These are SV 1 ≥ 2 mm; RV6 > RV5; S III + (R + S) maximum precordial lead ≥ 30 mm; P/PR ≥ 1.6; R a VL ≥ 11 mm. However, their specificities ranged from 56.5% to 95.6%. When the combination of RV6 > RV5 and S III + (R + S) maximum precordial lead ≥ 30 mm was used, sensitivity was 57.1 and specificity was 100%.
It is concluded that the presence of right bundle branch block these ECG criteria can be used for the diagnosis of left ventricular hypertrophy. |
| doi_str_mv | 10.1177/000331979404500203 |
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The sensitivities of five criteria were found to be better than 50%. These are SV 1 ≥ 2 mm; RV6 > RV5; S III + (R + S) maximum precordial lead ≥ 30 mm; P/PR ≥ 1.6; R a VL ≥ 11 mm. However, their specificities ranged from 56.5% to 95.6%. When the combination of RV6 > RV5 and S III + (R + S) maximum precordial lead ≥ 30 mm was used, sensitivity was 57.1 and specificity was 100%.
It is concluded that the presence of right bundle branch block these ECG criteria can be used for the diagnosis of left ventricular hypertrophy.</description><identifier>ISSN: 0003-3197</identifier><identifier>EISSN: 1940-1574</identifier><identifier>DOI: 10.1177/000331979404500203</identifier><identifier>PMID: 8129183</identifier><identifier>CODEN: ANGIAB</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Adult ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Bundle-Branch Block - complications ; Bundle-Branch Block - diagnosis ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Echocardiography ; Electrocardiography ; Female ; Humans ; Hypertension - complications ; Hypertrophy, Left Ventricular - complications ; Hypertrophy, Left Ventricular - diagnosis ; Hypertrophy, Left Ventricular - diagnostic imaging ; Male ; Medical sciences ; Middle Aged ; Sensitivity and Specificity</subject><ispartof>Angiology, 1994-02, Vol.45 (2), p.101-105</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c367t-a71e30e7d27ee62c6919804427cce3fd6943cc99237075d43b1143356aa03b133</citedby><cites>FETCH-LOGICAL-c367t-a71e30e7d27ee62c6919804427cce3fd6943cc99237075d43b1143356aa03b133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000331979404500203$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000331979404500203$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3937014$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8129183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nalbantgil, Istemi</creatorcontrib><creatorcontrib>Önder, Remzi</creatorcontrib><creatorcontrib>Kiliçcioglu, Bülent</creatorcontrib><creatorcontrib>Işler, Mehmet</creatorcontrib><title>Electrocardiographic Diagnosis of Left Ventricular Hypertrophy in the Presence of Right Bundle Branch Block in Cases with Essential Hypertension</title><title>Angiology</title><addtitle>Angiology</addtitle><description>Right bundle branch block was diagnosed in electrocardiograms of 37 of 1085 patients with essential hypertension. Echocardiographically left ventricu lar hypertrophy was diagnosed in 14 of these 37 patients. Eighteen electrocar diographic (ECG) criteria, which were previously recommended, were deter mined in these 37 patients.
The sensitivities of five criteria were found to be better than 50%. These are SV 1 ≥ 2 mm; RV6 > RV5; S III + (R + S) maximum precordial lead ≥ 30 mm; P/PR ≥ 1.6; R a VL ≥ 11 mm. However, their specificities ranged from 56.5% to 95.6%. When the combination of RV6 > RV5 and S III + (R + S) maximum precordial lead ≥ 30 mm was used, sensitivity was 57.1 and specificity was 100%.
It is concluded that the presence of right bundle branch block these ECG criteria can be used for the diagnosis of left ventricular hypertrophy.</description><subject>Adult</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Bundle-Branch Block - complications</subject><subject>Bundle-Branch Block - diagnosis</subject><subject>Cardiology. Vascular system</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Hypertrophy, Left Ventricular - complications</subject><subject>Hypertrophy, Left Ventricular - diagnosis</subject><subject>Hypertrophy, Left Ventricular - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Sensitivity and Specificity</subject><issn>0003-3197</issn><issn>1940-1574</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcGO0zAQhi0EWrqFF0BC8gFxC2vHSVwfaemySJVACLhGXmfSeHHt4HGE-hY8Mo4a7QWJkz2a7_9n9A8hrzh7x7mUN4wxIbiSqmJVzVjJxBOy4rkqeC2rp2Q1A8VMPCfXiA-5rDlrrsjVhpeKb8SK_Nk7MCkGo2NnwzHqcbCGfrD66ANapKGnB-gT_QE-RWsmpyO9O48Qs2YcztR6mgagXyIgeAMz_9Ueh0S3k-8c0G3U3gx064L5OcM7jYD0t00D3WOWJKvdYggebfAvyLNeO4SXy7sm32_333Z3xeHzx0-794fCiEamQksOgoHsSgnQlKZRXG1YVZXSGBB916hKGKNUKSSTdVeJe84rIepGa5b_QqzJ24vvGMOvCTC1J4sGnNMewoStbIRqNo3KYHkBTQyIEfp2jPak47nlrJ3P0P57hix6vbhP9yfoHiVL7rn_ZulrNNr1c0oWHzGh8tp53zW5uWCoj9A-hCn6nMn_Bv8FZUydfw</recordid><startdate>19940201</startdate><enddate>19940201</enddate><creator>Nalbantgil, Istemi</creator><creator>Önder, Remzi</creator><creator>Kiliçcioglu, Bülent</creator><creator>Işler, Mehmet</creator><general>SAGE Publications</general><general>Westminster</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940201</creationdate><title>Electrocardiographic Diagnosis of Left Ventricular Hypertrophy in the Presence of Right Bundle Branch Block in Cases with Essential Hypertension</title><author>Nalbantgil, Istemi ; Önder, Remzi ; Kiliçcioglu, Bülent ; Işler, Mehmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-a71e30e7d27ee62c6919804427cce3fd6943cc99237075d43b1143356aa03b133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Bundle-Branch Block - complications</topic><topic>Bundle-Branch Block - diagnosis</topic><topic>Cardiology. Vascular system</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Hypertrophy, Left Ventricular - complications</topic><topic>Hypertrophy, Left Ventricular - diagnosis</topic><topic>Hypertrophy, Left Ventricular - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nalbantgil, Istemi</creatorcontrib><creatorcontrib>Önder, Remzi</creatorcontrib><creatorcontrib>Kiliçcioglu, Bülent</creatorcontrib><creatorcontrib>Işler, Mehmet</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Angiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nalbantgil, Istemi</au><au>Önder, Remzi</au><au>Kiliçcioglu, Bülent</au><au>Işler, Mehmet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electrocardiographic Diagnosis of Left Ventricular Hypertrophy in the Presence of Right Bundle Branch Block in Cases with Essential Hypertension</atitle><jtitle>Angiology</jtitle><addtitle>Angiology</addtitle><date>1994-02-01</date><risdate>1994</risdate><volume>45</volume><issue>2</issue><spage>101</spage><epage>105</epage><pages>101-105</pages><issn>0003-3197</issn><eissn>1940-1574</eissn><coden>ANGIAB</coden><abstract>Right bundle branch block was diagnosed in electrocardiograms of 37 of 1085 patients with essential hypertension. Echocardiographically left ventricu lar hypertrophy was diagnosed in 14 of these 37 patients. Eighteen electrocar diographic (ECG) criteria, which were previously recommended, were deter mined in these 37 patients.
The sensitivities of five criteria were found to be better than 50%. These are SV 1 ≥ 2 mm; RV6 > RV5; S III + (R + S) maximum precordial lead ≥ 30 mm; P/PR ≥ 1.6; R a VL ≥ 11 mm. However, their specificities ranged from 56.5% to 95.6%. When the combination of RV6 > RV5 and S III + (R + S) maximum precordial lead ≥ 30 mm was used, sensitivity was 57.1 and specificity was 100%.
It is concluded that the presence of right bundle branch block these ECG criteria can be used for the diagnosis of left ventricular hypertrophy.</abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>8129183</pmid><doi>10.1177/000331979404500203</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Bundle-Branch Block - complications Bundle-Branch Block - diagnosis Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Echocardiography Electrocardiography Female Humans Hypertension - complications Hypertrophy, Left Ventricular - complications Hypertrophy, Left Ventricular - diagnosis Hypertrophy, Left Ventricular - diagnostic imaging Male Medical sciences Middle Aged Sensitivity and Specificity |
| title | Electrocardiographic Diagnosis of Left Ventricular Hypertrophy in the Presence of Right Bundle Branch Block in Cases with Essential Hypertension |
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