Evidence map›Paper›PMID 23091505›Full record

ArticleKorean circulation journal2012

A comparison of cornell and sokolow-lyon electrocardiographic criteria for left ventricular hypertrophy in korean patients.

Jin Kyu Park, Jeong Hun Shin, Seok Hwan Kim, Young-Hyo Lim, Kyung-Soo Kim, Soon Gil Kim, Jeong Hyun Kim, Heon Gil Lim, Jinho Shin

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Article in Korean circulation journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

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14citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jin Kyu ParkDivision of Cardiology, Department of Internal Medicine, Hanyang University Medical Center, Seoul, Korea.
Jeong Hun Shin
Seok Hwan Kim
Young-Hyo Lim
Kyung-Soo Kim
Soon Gil Kim
Jeong Hyun Kim
Heon Gil Lim
Jinho Shin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesElectrocardiography (ECG) is a cost-effective and useful method for diagnosing left ventricular hypertrophy (LVH) in a large-scale study or in clinical practice. Among ECG criteria, the Cornell product (Cor P) and Sokolow-Lyon criteria were adopted by the European Society of Hypertension-European Society of Cardiology Guidelines but have different performances among races. The aim of this study was to compare the diagnostic performance of two voltage criteria in Korean patients. SUBJECTS AND

methodsElectrocardiography and echocardiographic LV mass of 332 (159 male, 173 female) consecutive patients were analyzed. Cornell voltage criteria and the Cor P were compared with Sokolow-Lyon voltage (Sok V) and the Sokolow-Lyon product (Sok P). The sensitivities and specificities were estimated using a receiver-operating characteristics (ROC) curve in relation to the LVH diagnosis. The sensitivities and revised cut-off values were derived at specificity levels of 90, 95, and 100%.

resultsThe Cornell-based criteria generally showed better performance than that of the Sok V criteria and Sok P in the area under the ROC curve analysis. The revised cut-off values for the Cornell voltage criteria (20 and 16 mm for males and females, respectively) showed an improved sensitivity (19.7 and 30.3% for males and females, respectively), with a high specificity of 95%.

conclusionThe Cornell-based criteria had better performance than that of the Sokolow-Lyon criteria in both Korean men and women. However, revised cut-off values are needed to improve accuracy.

Indexed as

EchocardiographyElectrocardiographyHypertrophy, left ventricularSensitivity and specificity

Identifiers

PMID23091505
PMCPMC3467444

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